Question:
The ophthalmologist wants to code for a "detailed evaluation of EOM function." The diagnosis was "convergence insufficiency." Is there a code for this? Can we code it with an eye exam? Washington Subscriber
Answer:
You can report 92060 (
Sensorimotor examination with multiple measurements of ocular deviation ... with interpretation and report [separate procedure]) on the same day as an eye exam (92002- 92014) or E/M code (except 99211). Ophthalmologists perform the test to look for focusing or accommodative problems in extraocular muscle (EOM) function. Common diagnosis codes for this test are 378.1x (
Exotropia) and 378.0x (
Esotropia). Convergence insufficiency, accommodative insufficiency and divergence excess diagnoses would be covered under the exotropia diagnosis.