92015

CPT^® 92015, Under Ophthalmological Examination and Evaluation Procedures

The Current Procedural Terminology (CPT^®) code 92015 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmological Examination and Evaluation Procedures.

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Summary

The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.

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Forum

Have a question about CPT Code 92015 ? Start a discussion here

MDM for glasses and/or contact lenses?

Hi Cierras Check in the section of CPT book in middle of manual about page 661 . Office visits for eyes start with CPT 92002 till 92014. Add modifier 25 if eye test given. But use CPT 92015 if give p... [ Read More ]

Proper usage of ICD with 92002-92014

[QUOTE="Cheezum51, post: 514655, member: 329674"] If you bill the 920xx codes with a refractive error ICD code, the exam WILL NOT be paid by Medicare or any other carrier. Those codes are only billed ... [ Read More ]

Proper usage of ICD with 92002-92014

[QUOTE="Hkaushik, post: 514605, member: 498699"] Yes, this was paid by Medicare and we need to send this with refractive error DX code [/QUOTE] If you bill the 920xx codes with a refractive error ICD ... [ Read More ]

Documentation Question for Comprehensive Exam

Yes, if a refraction is done you would bill 92015. Yes, prescription for glasses is enough to meet the “initiation of diagnostic and treatment program” requirement for 92014.... [ Read More ]

Collecting Copayments upfront

Before any patient comes in, you should collect their vision plan and major medical information and check copays and deductibles so you know what to collect at the time of service. If you don't have t... [ Read More ]

Aetna Better health

Hello, Biller I currently started a New job as a Biller for ophthalmologist . Aetna better health medicaid denied my claim for 92015 Refection , need auth . Now what should i do should i adj ... [ Read More ]

Ophthalmic 92 codes being denied by commercial payers as Routine

I've heard this from docs in Virginia and other states. Not sure why this is happening. One coder said they were also billing the 92015, with the refractive codes for that with the 92 codes with medic... [ Read More ]

Ophthalmic codes

I don't quite understand your question but will try to answer as best I can. A 920x2 needs to have 3-7 exam elements and a 920x4 needs 8 or more exam elements. A refraction is not considered an exam e... [ Read More ]

Pediatric "strabismus" and refractive diagnoses

[QUOTE="saddie2k, post: 491095, member: 234107"] Yes, thank you. Thats exactly what I was asking. Our other providers never include the refractive diagnoses in their impressions at all if the visit is... [ Read More ]

Pediatric "strabismus" and refractive diagnoses

[QUOTE="Cheezum51, post: 491075, member: 329674"] I believe I understand what you're asking so I'll try to answer. In general, you do not want to mix refractive and medical diagnoses because many insu... [ Read More ]

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