AMA CPT® Assistant - 2016 Issue 11 (November)

Medicine: Ophthalmology (Q&A) (November 2016)

November 2016 page 9a Medicine: Ophthalmology Question: What are the specific elements of a complete visual system examination as part of the comprehensive ophthalmological services? Answer: CPT guidelines do not define the elements of "complete" visual system examination, but do describe what constitutes "comprehensive ophthalmological services." Codes 92004, Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits, and code 92014, Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits, describe comprehensive ophthalmological services that...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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