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Dane Sultzer, OD: Condition CPT Codes Imaging/Procedure Codes Consider Comments

This document provides an ophthalmic coding guide that lists common eye conditions and the appropriate CPT and imaging/procedure codes. For each condition, it identifies baseline tests and considerations. For example, for diabetes, it recommends baseline retinal photography with and without retinopathy and lists retinal imaging and gonioscopy codes. For glaucoma, it suggests avoiding visual field testing during dilated exams when possible and includes gonioscopy and imaging codes. The guide codes exams, imaging studies, and procedures for various conditions like macular degeneration, dry eye, cataracts, and conjunctivitis.

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160 views

Dane Sultzer, OD: Condition CPT Codes Imaging/Procedure Codes Consider Comments

This document provides an ophthalmic coding guide that lists common eye conditions and the appropriate CPT and imaging/procedure codes. For each condition, it identifies baseline tests and considerations. For example, for diabetes, it recommends baseline retinal photography with and without retinopathy and lists retinal imaging and gonioscopy codes. For glaucoma, it suggests avoiding visual field testing during dilated exams when possible and includes gonioscopy and imaging codes. The guide codes exams, imaging studies, and procedures for various conditions like macular degeneration, dry eye, cataracts, and conjunctivitis.

Uploaded by

MaharNadirAli
Copyright
© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
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Ophthalmic Coding Guide

Dane Sultzer, OD

Condition CPT Codes Imaging/Procedure Codes Consider Comments

● Diabetes with or ● 99204 ● Fundus Photography (92250) ● Anterior segment photography (92285) Baseline retinal photography
without ocular ● 99214 ● Scanning Computerized Ophthalmic Imaging, Retina (92134) recommended with and without
complications ● 92014 ● Gonioscopy (92020) retinopathy

● Glaucoma ● 99202 - 99204 ● Fundus Photography (92250) ● Gonioscopy (92020) Avoid completing visual field testing
● Preglaucoma ● 99212 - 99214 ● Visual Field, Extensive (92083) with dilated examination, when
● Ocular Hypertension ● 92012 - 92014 OR ● Pachymetry (76514) possible
● Optic nerve disorders
● Other brain disorders
● Scanning Computerized
Ophthalmic Imaging, Optic
Nerve (92133)

● Macular ● 99203 - 99204 ● Fundus Photography (92250) ● Visual Field, Extensive (92083) Avoid completing visual field testing
Degeneration ● 99213 - 99214 with dilated examination, when
● 92013 - 92014 OR possible

● Scanning Computerized
Ophthalmic Imaging, Retina
(92134)

● Ocular Surface ● 99202 - 99204 See “Consider” ● Anterior segment photography (92285)
Disease (Dry Eye) ● 99212 - 99214 ● Punctum closure (68761)
● 92002 - 92004 ● PLCMT of amniotic membrane (65778)
● 92012 - 92014 ● Immunoassay nonantibody (83516)

● Cataract ● 99204 See “Consider” ● B-scan ophthalmic ultrasound (76512)


● 99214
● 92014

● Conjunctivitis ● 99202 - 99204 See “Consider” ● Anterior segment photography (92285)


● 99212 - 99214 ● Immunoassay nonantibody (83516)
● 92002 - 92004
● 92012 - 92014

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