chriskane28
New
- Messages
- 2
- Best answers
- 0
Hello, looking for some clarification on this. For an eye examination to qualify as a Comprehensive exam (92004/92014) is it required that all the elements be completed on both eyes?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Comprehensive eye examination
- Thread starter chriskane28
- Start date
natashalage
Guru
hi, I am not an expert but I do code eye exams. I was not told to look for this criteria- mandetory both eyes. My understanding that if only 1 eye was done for some reason, that would count also. Total 13 elements for comprehensive exam.
Cheezum51
True Blue
92004 requires 12 exam elements. 92014 requires 8 exam elements. If you can't do an element due to a patient's physical problems, document that you attempted to do the element but were unable to do so due to the condition. Foe example: Attempted Goldman tonometry. Unable to obtain valid reading due to patient movement from Parkinson's.
natashalage
Guru
Very interesting (12 elements). Again, I am not an expert but I was given guidance to count 13 where " The difference between a Detailed and a Comprehensive exam is the addition of the 13the element, the documentation of orientation to time, place , person and mood and affect' must be documented." That's all what I have available to add.
Edmundo
Contributor
Hi @chriskane28 - It's a pleasure. Great question! Check out this informative fact sheet created by the American Academy of Ophthalmology. It goes over the key components of CPT 92004/92014.
Fact Sheet for the Comprehensive Eye Visit Codes: 92004 and 92014 - American Academy of Ophthalmology (aao.org)
Kindly,
Edmundo Gonzalez, CPC, COPC, OCS
Fact Sheet for the Comprehensive Eye Visit Codes: 92004 and 92014 - American Academy of Ophthalmology (aao.org)
Kindly,
Edmundo Gonzalez, CPC, COPC, OCS
TThivierge
True Blue
Hello
I know you can only bill CPT 92004 for the eye as body set. Not use this CPT code for a left and one for right eye. If CPT 92004 RT eye and 92004 LT eye both billed same claim it will get denied or even if use modifier 50. Just a FYI
I hope this helps someone
Lady T
I know you can only bill CPT 92004 for the eye as body set. Not use this CPT code for a left and one for right eye. If CPT 92004 RT eye and 92004 LT eye both billed same claim it will get denied or even if use modifier 50. Just a FYI
I hope this helps someone
Lady T