AMA CPT® Assistant - 2018 Issue 12 (December)
New Category III Ophthalmology Codes (December 2018)
December 2018 page 6 New Category III Ophthalmology Codes Two new Category III codes (0506T, 0514T) to report ophthalmic techniques have been added to the Current Procedural Terminology (CPT®) 2019 code set. The new codes will provide the means for data collection, analysis of clinical efficacy and safety of the ophthalmic techniques, and will help determine their applicability to clinical practices and payer coverage. 0506TMacular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with interpretation and report Code 0506T describes a noninvasive assessment of a patient's potential risk for visual disability or catastrophic vision loss...
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Article Overview
This article covers newly added Category III ophthalmology codes in the CPT 2019 code set and explains the general reporting context for ophthalmic techniques. It is relevant to ophthalmologists, coders, and billing staff who need to understand what changed, the kinds of services addressed, and how the article frames clinical examples and procedural descriptions. The discussion also touches on related documentation and reporting considerations for these ophthalmic services.
Why This Topic Matters
It helps readers recognize that new ophthalmology CPT reporting options were introduced and understand the type of guidance available for evaluating relevance to clinical and coding workflows.
Article Sections
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December 2018 page 6
Introductory placement information for the article within the December 2018 issue.
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New Category III Ophthalmology Codes
Overview of newly added ophthalmology-related Category III CPT content and the general purpose of these additions.
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0506T
Discussion of one ophthalmic technique code, including its reporting context and related clinical example and procedure description.
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0514T
Discussion of an add-on ophthalmic technique code, including its intended use context and related clinical example and procedure description.
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Clinical Example (0506T)
A representative patient scenario associated with the first code.
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Description of Procedure (0506T)
Procedural narrative accompanying the first clinical example.
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Clinical Example (0514T)
A representative patient scenario associated with the add-on code.
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Description of Procedure (0514T)
Procedural narrative accompanying the add-on code's example.
What You Will Learn
- The general purpose of newly introduced ophthalmology Category III CPT content.
- How the article frames reporting context for the affected ophthalmic services.
- What kinds of clinical examples and procedure narratives accompany the codes.
- The broader specialty and documentation context for the update.
Who Should Read This
- Ophthalmologists
- Medical coders
- Billing staff
- Practice managers
- Compliance teams
Codes Discussed
Modifiers Discussed
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