AMA CPT® Assistant - 2019 Issue 12 (December)
New Extended Ophthalmoscopy Services Codes (December 2019)
December 2019 page 3 New Extended Ophthalmoscopy Services Codes Due to changes in clinical practice, two new codes (92201, 92202) have been established and codes 92225 and 92226 have been deleted in the Ophthalmoscopy subsection in the Current Procedural Terminology (CPT®) 2020 code set. The new codes describe extended types of ophthalmoscopy examinations that are not the same as routine use of an ophthalmoscope during a normal comprehensive eye examination. This type of extended examination is performed for relatively serious conditions and includes specific documentation requirements. This article outlines the changes in the Ophthalmoscopy subsection in CPT 2020...
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Article Overview
This CPT-focused ophthalmology article explains changes to the ophthalmoscopy subsection in the 2020 code set. It is useful for coders, billers, and eye care practices that need to understand the scope of the update, the affected code families, and the surrounding reporting guidance presented in the article.
Why This Topic Matters
Extended ophthalmoscopy coding affects how ophthalmology services are documented and reported. The article helps readers identify which parts of the code set changed and what general topics the editorial guidance addresses.
Article Sections
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December 2019 page 3
A brief publication heading identifying the source page and article placement.
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New Extended Ophthalmoscopy Services Codes
Overview of the CPT ophthalmology update, including the scope of the change, the affected service area, and the general documentation focus.
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Ophthalmoscopy
Presentation of the revised ophthalmoscopy subsection and the new code family in the 2020 CPT code set.
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Rationale for Changes
Background discussion of why the ophthalmoscopy subsection was revised and how the update is organized around anatomy and service distinctions.
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Coding Tip
General reporting guidance highlighting related ophthalmology services and overlap considerations discussed in the article.
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Clinical Example (92201)
A representative scenario and procedural description associated with the first of the new ophthalmoscopy services.
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Description of Procedure (92201)
Procedure narrative for the first ophthalmoscopy service, presented as part of the article’s clinical example material.
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Clinical Example (92202)
A representative scenario and procedural description associated with the second of the new ophthalmoscopy services.
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Description of Procedure (92202)
Procedure narrative for the second ophthalmoscopy service, presented as part of the article’s clinical example material.
What You Will Learn
- What changed in the ophthalmoscopy subsection of CPT 2020
- Which extended ophthalmology service codes were added or removed
- What general documentation and reporting topics the article addresses
- How the article frames the relationship between the updated ophthalmoscopy services and related eye imaging services
Who Should Read This
- Ophthalmology coders
- Medical billers
- Revenue cycle staff
- Eye care practices
- Compliance staff
Codes Discussed
Modifiers Discussed
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