Optometry Coding & Billing Alert

READER QUESTIONS:

Get the Scoop on 92020, 92060 and 92100

Question: Some CPT code descriptions include the phrase -separate procedure.- What does this mean and how does it affect coding?


Florida Subscriber


Answer: The phrase -separate procedure- designates codes that are -commonly carried out as an integral component of a total service,- according to CPT. You should not report such a code in addition to the code for the total procedure or service for which it is considered an integral component.

Ophthalmic tests designated as a -separate procedure- include:

- 92020 for gonioscopy
- 92060 for quantitative sensorimotor exam
- 92100 for serial tonometry.

Answers to You Be the Coder, Reader Questions and Building a Better Business reviewed by David Gibson, OD, FAAO, practicing optometrist in Lubbock, Texas.

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