Question: Virginia Subscriber Answer: A comprehensive exam (92014 for an established patient or 92004 for a new patient) also includes more exam components than an intermediate exam (92012 for an established patient or 92002 for a new patient). For example, an insurer may require that you include nine or more of these elements in a comprehensive exam: • Visual acuity (not including refractive error) • Gross visual fields • Eyelids and adnexa • Ocular mobility • Pupils • Iris • Conjunctiva • Cornea • Anterior chamber • Lens • Intraocular pressure • Retina (vitreous, macula, periphery, and vessels) • Optic disc. Tip: Although CPT does not support this restriction, some insurers maintain that you should use 92002-92014 only for routine vision exams. Be sure to check your carrier for its rules.