Ophthalmology and Optometry Coding Alert

Evaluations:

Determine the Difference Between Intermediate and Comprehensive Exams

Other options include E/M and S-codes, but choose wisely. CPT® divides general ophthalmological services into new and established patient categories, as well as intermediate and comprehensive: 92002 -- Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient 92004 -- … comprehensive, new patient, one or more visits 92012 -- Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient 92014 -- … comprehensive, established patient, one or more visits. To report the evaluation of new or exiting conditions that have been complicated by a new diagnostic or management problem, use 92002 for a new patient or 92012 for an established patient. To report the evaluation of the complete visual system and treatment over the course of one or more visits, use 92004 for a new patient or 92014 for an established patient. Both the E/M codes (99201-99215, Office or [...]
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