Verified
Current Procedural Terminology (CPT) - -AMA; 5 digit numeric codes, descriptions, numeric modifiers,
instructions, guidelines, and other materials are copyrighted by AMA
-level 1 of HCPCS
CPT Coding System - 5 digit code + 2 digit modifiers (11111 - 22 - 33)
HCPCS - healthcare common procedure coding system
Level I HCPCS - CPT Codes
Level II - National codes - for drugs
Level III - Local codes - eliminated
Hyperopia: OD, OS, OU - H52.01, H52.02, H52.03
Myopia: OD, OS, OU - H52.11, H52.12, H52.13
Regular Astigmatism: OD, OS, OU - H52.221, H52.222, H52.223
Irregular Astigmatism: OD, OS, OU - H52.211, H52.212, H52.213
Presbyopia - H52.4
Routine Eye Exam - -if it is provided solely for any of the following diagnoses: ametropia, anisometropia,
astigmatism, emmetropia, hyperopia, myopia, "no pathology", presbyopia, or refractive error
, General Ophthalmological Exam Codes - 92002, 92012 or 92004, 92014
Evaluation and Management Codes - -99201, 99202, 99203, 99204, 99205
-99211, 99212, 99213, 99214, 99215
Special Ophthalmological Procedures - 92015, 92020, 92083, 92225, 92250, 92285
Cataracts Nuclear Code - H25.11, H25.12, H25.13
Refraction CPT Code - 92015
Gonioscopy CPT Code - 92020
Visual Fields CPT Code - 92083
Sensorimotor CPT Code - 92060
Extended Ophthalmoscopy CPT Code - 92225
External Ocular Photography CPT Code - 92285
Threshold Field CPT Code - 92083
Components of a Routine Eye Exam - history, visual acuity, external exam of eye (SL, gross observation),
binocular measures (cover test, motility (EOMs), NPC), ophthalmoscopy with or without tonometry
(always do this unless strong reason not to), visual field plot, with or without biomicroscopy, with or
without refraction