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Wiki 92014 vs 92012

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pegjoh5746

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The eye code worksheet I have indicates a change in the treatment plan is required to bill 92014. Prescription, diagnostic tests, surgical intervention, referral or other. My provider is performing a comprehensive exam but indicating the patient does not need glasses return in 2 years. What level of service would you recommend?
 
Is there any medical diagnosis? Are these "routine" exams with no presenting problem/chief complaint other than, "I'm here for my annual exam"? If the exam is being covered by a vision care plan, such as VSP or Eyemed, I'd code it as a 92014.

I'm not really sure that a change in eyeglass prescription qualifies as "initiating treatment" per se. Lots of billing and coding folks disagree on that one.

Tom Cheezum, O.D., CPC, COPC
 
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