Ophthalmic Ultrasound (codes 76513 and 0187T) (November 2009)

November 2009 page 9 Coding Brief:Ophthalmic Ultrasound (codes 76513 and 0187T) For these studies, the CPT code set distinguishes between these two technologies. If ultrasound is used, then code 76513, Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, is reported. If optical coherence tomography (OCT) is used, then code 0187T, Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral, is reported. Both procedures provide cross-sectional images of the eye, often of areas of the eye that cannot be visually seen. Ultrasound technology to image the anterior segment of the eye...

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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 CPT® Assistant brief discusses ophthalmic ultrasound and anterior segment optical coherence tomography as two imaging approaches for the eye. It is aimed at coders, billers, and eye care practices that need to understand the scope of the article, the technology categories involved, and the documentation context surrounding anterior segment imaging. The article focuses on the general comparison of the procedures and why their coding is treated differently in CPT guidance.

Why This Topic Matters

Correctly identifying the imaging technology used in ophthalmic anterior segment studies is important for coding accuracy, documentation review, and aligning claims with the applicable CPT framework.

Article Sections

  1. Coding Brief: Ophthalmic Ultrasound

    Introduces the article’s coding topic and the imaging services discussed in the brief. Provides context for the two ophthalmic technologies covered in the piece.

  2. Ultrasound-based anterior segment imaging

    Describes the general ultrasound approach used for anterior segment eye imaging and the clinical setting in which this type of study is performed. Explains the procedure at a high level and notes the type of image information obtained.

  3. Optical coherence tomography anterior segment imaging

    Summarizes the newer anterior segment imaging approach that uses optical coherence tomography. Covers the broader comparison between this method and ultrasound-based imaging.

  4. Summary

    Restates the article’s overall distinction between the two ophthalmic imaging approaches and closes the coding brief.

What You Will Learn

  • The general scope of ophthalmic anterior segment imaging discussed in the article
  • How the article frames the distinction between ultrasound and optical coherence tomography
  • The documentation and coding context associated with ophthalmic diagnostic imaging
  • Which professional audience the brief is intended to support

Who Should Read This

  • Medical coders
  • Billing staff
  • Ophthalmology practices
  • Clinical documentation reviewers

Codes Discussed


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