AMA CPT® Assistant - 2025 Issue 11 (November)
Ophthalmology Code Changes in 2026
November 2025 page 15 Ophthalmology Code Changes in 2026 For the CPT 2026 code set, there have been several changes to report ophthalmology services. In the Other Specialized Services subsection of the Ophthalmology section, code 92284 has been revised to report diagnostic dark adaptation and code 92288 has been established to report screening dark-adaptation measurement. To accommodate and reflect technological advancements in ophthalmologic services, new Category III codes 0996T, 1010T, and 1012T were released early on the AMA website and will take effect on January 1, 2026. In addition, parenthetical notes have been added throughout the code set to...
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Article Overview
This article reviews ophthalmology-related coding updates for CPT 2026. It explains changes to specialized services language, introduces newly established Category III ophthalmology codes, and notes accompanying parenthetical guidance and cross-references. The content is useful for coders, billers, and ophthalmology practices tracking annual code-set revisions and implementation timing.
Why This Topic Matters
Annual code-set changes can affect how ophthalmology services are documented, reported, and routed through coding workflows. Reviewing these updates helps practices stay aligned with the current CPT structure and related instructional notes.
Article Sections
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Ophthalmology
Introduces the ophthalmology portion of the update and frames the service categories affected by the 2026 changes.
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Other Specialized Services
Covers revisions within specialized ophthalmology services and the addition of related parenthetical references.
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Specialized Services
Provides narrative discussion of the specialized service updates and their general clinical context.
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Category III Codes
Summarizes newly established ophthalmology Category III reporting topics and accompanying instructional notes.
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Clinical Example (92284)
Presents a typical scenario and procedure summary for the ophthalmology service addressed by the updated specialized-services section.
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Clinical Example (92288)
Presents a typical scenario and procedure summary for the newly established screening-oriented ophthalmology service.
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Clinical Example (0996T)
Provides a representative clinical scenario and procedural description associated with the new Category III ophthalmology code.
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Clinical Example (1010T)
Provides a representative clinical scenario and procedural description associated with computerized ophthalmic eye-movement analysis.
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Clinical Example (1012T)
Provides a representative clinical scenario and procedural description associated with the new glaucoma-related Category III service.
What You Will Learn
- Which ophthalmology areas were updated for CPT 2026
- How the article frames revisions to specialized ophthalmic services
- What kinds of new Category III ophthalmology services were introduced
- How the article presents parenthetical and cross-reference guidance
- Which clinical scenarios are used to illustrate the updated services
Who Should Read This
- Ophthalmology coders
- Medical billers
- Practice managers
- Revenue cycle teams
- Health information management professionals
Codes Discussed
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