Ophthalmology and Optometry Coding Alert

Although your individual insurer may have its own rules for payment, here is a list of diagnoses that many Medicare carriers agree may support medical necessity for CPT codes 92081-92083 (Visual field examination, unilateral or bilateral, with interpretation and report ...):191.0-191.9 -- Malignant neoplasm of brain192.0 -- Malignant neoplasm of cranial nerves194.3 -- Malignant neoplasm of pituitary gland and craniopharyngeal duct198.89 -- Secondary malignant neoplasm of other specified sites224.5 -- enign neoplasm of retina225.1 -- Benign neoplasm of cranial nerves227.3 -- Benign neoplasm of pituitary gland and craniopharyngeal duct234.8 -- Carcinoma in situ of other specified sites237.0 -- Neoplasm of uncertain behavior of pituitary gland and craniopharyngeal duct239.6 -- Neoplasm of unspecified nature of brain239.7 -- Neoplasm of unspecified nature of endocrine glands and other parts of nervous system348.2 -- Benign intracranial hypertension362.11-362.18 -- Other background retinopathy and retinal vascular changes364.22 -- Glaucomatocyclitic crises365.00-365.82 -- Glaucoma368.40-368.47 -- Visual field defects377.00-377.04 -- Papilledema377.14 -- Glaucomatous atrophy (cupping) of optic disc377.15 -- Partial optic atrophy377.30-377.34 -- Optic neuritis377.41 -- Ischemic optic neuropathy377.42-- Hemorrhage [...]