Keep the levels straight - and elevate your documentation to the next level
CMS has determined that certain diagnostic tests under the "Special Ophthalmological Services" heading in the CPT manual require either general or direct supervision when a nonphysician practitioner performs them. Use this key to help keep your documentation on the level.
Level One: General Supervision
Physician provides overall direction and control but does not need to be present.
92060 - Sensorimotor examination with multiple measurements of ocular deviation with interpretation and report (separate procedure)
92065 - Orthoptic and/or pleoptic training, with continuing medical direction and evaluation
92081 - Visual field examination, unilateral or bilateral, with interpretation and report; limited examination
92082 - ... intermediate examination
92083 - ... extended examination
92135 - Scanning computerized ophthalmic diagnostic imaging with interpretation and report, unilateral
92250 - Fundus photography with interpretation and report.
Level Two: Direct Supervision
Physician must be present in the office suite and immediately available to assist in and direct the procedure.
92235 - Fluorescein angiography (includes multiframe imaging) with interpretation and report
92240 - Indocyanine-green angiography (includes multiframe imaging) with interpretation and report.