Question: Answer: However, complaints of flashers and floaters are always serious and must be evaluated carefully; often, these symptoms will justify extended ophthalmoscopy (92225, Ophthalmoscopy, extended, with retinal drawing [e.g., for retinal detachment, melanoma], with interpretation and report; initial). Use 92225 to report a Goldmann-3 exam (examining the retina with a three-mirror goniolens). Remember to provide your formal interpretation and report of the findings in the patient's medical record. In many cases in which flashers and floaters are present, extended ophthalmoscopy (EO) combined with a retinal exam shows vitreous degeneration or posterior vitreous detachment (379.21, Vitreous degeneration). If an ophthalmologist does not see anything in the routine ophthalmoscopy, he will probably not do an EO. In the unlikely event that the ophthalmologist doesn't find any significant problems with the retina after the EO, link 92225 to 379.24 (Disorders of vitreous body; other vitreous opacities). "Vitreous floaters" appears in a note under that code in the ICD-9 manual. If the ophthalmologist does not see floaters, look to the 368.1x series (Subjective visual disturbances). However: