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If an ophthalmologist or optometrist performs an annual dilated eye examination to diagnose, monitor or treat the patient for diabetic retinopathy, HMSA and HPH would prefer that the provider bill using ophthalmological service codes (CPT 92002-92014).
Procedure Codes and Modifiers CPT Procedure CodesDescription92002 - 92014Ophthalmology; General Ophthalmological Services92015-92286Ophthalmology; Special Ophthalmological Services92310-92326Ophthalmology; Contact Lens Services92340-92353Ophthalmology; Spectacle Services (including prosthesis for aphakia)26 more rows
Used by eye doctors to measure the vision of a patient and compare it to the chart. The different types of eye charts include the Snellen eye chart, the tumbling E eye chart, and the Jaeger eye chart.
Defining the Codes 92014: Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, one or more visits.
How to Do an At-Home Eye Test Print or purchase a vision chart. Tape the chart on a wall. Place your childs chair ten feet away from the chart. Ask your child to cover one of his or her eyes. Light the vision chart. Have your child read each line of the chart. Repeat the process with your childs other eye covered.

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CPT Codes 92004, 92014, 92002, and 92012 The comprehensive exam often includes a retinal evaluation and typically is not performed more than once a year. The 92002/92012 eye exam CPT codes are more often used for anterior seg issues or follow-up visits.
Eye Examination Report Form. Patient Information. Ocular History. Visual Acuity. Muscle Function and Intraocular Pressure. Visual Field Test. Color Vision. Environmental Factors.
CPT Code 92012 in section: Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program.

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