AMA CPT® Assistant - 2011 Issue 1 (January)

Medicine: Special Services, Procedures, and Reports (Q & A) (January 2011)

January 2011 page 9d Medicine: Special Services, Procedures, and Reports Question: The guidelines for comprehensive ophthalmological service codes 92004 and 92014 indicate that these services always include initiation of diagnostic and treatment programs. Does this mean that the provider must initiate diagnostic and treatment programs to bill and report at this level? Or does it mean that diagnostic and treatment programs are not -separately reported? Answer: CPT codes 92004, Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits, and 92014, Ophthalmological services: medical examination and evaluation, with initiation...

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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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