Ophthalmology and Optometry Coding Alert

When performing a gonioscopy, an ophthalmologist examines the angle of the eye's anterior chamber to assess eye health and look for conditions such as glaucoma (365.xx). Code gonioscopies with 92020 (Gonioscopy [separate procedure]).

2007 National Medicare Physician Fee Schedule Allowable: $25.01 when performed in the office.

Global period: N/A

• 135 -- Sarcoidosis

• 190.0 -- Malignant neoplasm of eyeball, except conjunctiva, cornea, retina and choroid

• 234.0 -- Carcinoma in situ of eye

• 250.50 -- Diabetes with ophthalmic manifestations; type II or unspecified type, not stated as uncontrolled

• 360.30 -- Hypotony of eye, unspecified

• 360.50 -- Foreign body, magnetic, intraocular, unspecified

• 362.01 -- Background diabetic retinopathy

• 362.84 -- Retinal ischemia

• 364.00 -- Acute and subacute iridocyclitis, unspecified

• 364.70 -- Adhesions of iris, unspecified

• 365.00 -- Preglaucoma, unspecified

• 365.01 -- Open angle with borderline glaucoma findings

• 365.14 -- Glaucoma of childhood

• 365.20 -- Primary angle-closure glaucoma, unspecified

• 366.16 -- Senile nuclear sclerosis

• 366.53 -- After-cataract, obscuring vision

• 371.13 -- Posterior corneal pigmentations

• 377.14 -- Glaucomatous atrophy (cupping) of optic disc

• 379.31 -- Aphakia

• 743.41 -- Congenital anomalies of corneal size and shape

• 921.3 -- Contusion of eyeball

• 996.69 -- Infection and inflammatory reaction due to other internal prosthetic device, implant and graft

• V43.1 -- Lens replaced by other means.

92020 is a Column 1 code to 99211

92020 is a Column 2 code to 92018, 92019, 92285, 65855.