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Thread: Ophthalmology coding ?

  1. #1
    Join Date
    Apr 2007

    Default Ophthalmology coding ?

    AAPC: Back to School
    Does anyone know if this statment is true ?



    There are two levels of general ophthalmologic services – intermediate (92002 New 92012 Established) and comprehensive (92004 New 92014 Established). These codes are appropriate for services to new or established patients when the level of service includes several routine optometric/ophthalmologic examination techniques, such as slit lamp examination, keratometry, ophthalmoscopy, retinoscopy, tonometry, and motor evaluation that are integrated with and cannot be separated from the diagnostic evaluation. [/COLOR]Itemization of these individual service components is not appropriate. The physical examination elements of an ophthalmologic examination include:

    o visual acuity;

    o visual fields

    o eyelids and adnexa

    o ocular mobility

    o pupils

    o iris

    o cornea

    o anterior chamber

    o lens

    o intraocular pressure

    o retina (vitreous, macula, periphery, and vessels)

    o optic disc

    o mental status

    I have billed 92002-92014 with 92225 & 92226 and have not gotten denied but according to this article the Ophthalmoscopy is included in the exam, along with 92081-92083.

  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    #1 - where did this article come from? (a reliable source?)
    #2 - did you check the CCI Edits to see what it says about coding those services together?
    Donna, CPC, CPC-H

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