Medicine: Ophthalmology (January 2007)

January 2007 page 30 Coding Communication:Medicine: Ophthalmology Question What is the difference between codes 92002-92014 and the evaluation and management (E/M) codes? AMA Comment From a CPT coding perspective, the general ophthalmological services codes 92002-92014 share several definitions with the E/M codes, such as "new" and "established" patient, and may be used to report services rendered in the ophthalmology or optometry office. Differing from the E/M codes, the general ophthalmologic services describe the physician's activity as intermediate and comprehensive and do not require the three key components of history, examination, and medical decision-making or use the documentation guidelines of...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a CPT coding question in ophthalmology and explains how a general ophthalmology service code family is discussed in relation to evaluation and management coding. It is useful for coders, billing staff, and ophthalmology practices that need to understand the high-level distinctions covered in the AMA commentary and the role of CMS documentation guidelines in that context.

Why This Topic Matters

Ophthalmology encounters are often coded using families that can overlap conceptually with evaluation and management services, so understanding the article’s scope can help readers decide whether they need the full CPT Assistant discussion for office-based ophthalmology coding.

Article Sections

  1. Coding Communication: Medicine: Ophthalmology

    A coding Q&A focused on ophthalmology office services and their relationship to evaluation and management coding concepts. The section summarizes AMA commentary on the relevant CPT framework and documentation context.

What You Will Learn

  • How the article frames a question about ophthalmology service coding
  • The broad relationship between ophthalmology office service coding and evaluation and management concepts
  • What general documentation topics are discussed in the AMA commentary
  • How the article situates the discussion within CPT and CMS context

Who Should Read This

  • Medical coders
  • Ophthalmology practices
  • Billing staff
  • Revenue cycle staff
  • Coding auditors
  • Compliance staff

Codes Discussed

Code Ranges Discussed


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