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Optometric Procedure Codes

Surgical Procedures

Procedure Code Modifier Description
65125   Modification of  Ocular Implant (e.g., Drilling Receptacle for Prothesis Appendage) (Seperate Procedure)
65205   Removal of  Foreign Body, Externally; Conjunctival Superficial
65210          Removal of  Foreign Body, External Eye; Conjunctival Embedded (Includes Concretions), Subconjunctival, or Scleral Nonperforating
65220   Removal of  Foreign Body, External Eye; Corneal, without Slit Lamp
65222   Removal of  Foreign Body, External Eye; Corneal, with Slit Lamp
65430    Scraping of  Cornea, Diagnostic, for Smear and/or Culture
65435   Removal of Corneal Epithelium; with or without Chemocauterization (Abrasion,Curettage)
67820   Correction of Trichiasis; Epilation, by Forceps Only
68761 50 Closure of the Lacrimal Punctum; by Plug, Each (Max. 4 Units) (Used in Conjunction with A4263)
68761 51 Closure of the Lacrimal Punctum; by Plug, Each (Max. 4 Units) (Used in Conjunction with A4263)
68800         Dilation of  Lacrimal Punctum, with or without  Irrigation, Unilateral or  Bilateral
68820          Probing of Nasolacrimal Duct, with or without Irrigation, Unilateral or  Bilateral   
68830          Probing of Nasolacrimal Duct, with or without Irrigation, Unilateral or  Bilateral   ;with Insertion of Tube or Stent
A4263    RT Lacrimal Duct Implant
   
A4263    LT Lacrimal Duct Implant

Evaluation and Management Codes

Procedure Code Modifier Description
92002   Ophthalmological Services: Medical Examination and Evaluation with Initiation of Diagnostic and Treatment Program; Intermediate, New Patient      
92004          Ophthalmological Services: Medical Examination and Evaluation with Initiation of Diagnostic and Treatment Program; Comprehensive, New Patient, One OR More Visits
92012          Ophthalmological Services: Medical Examination and Evaluation with Initiation or Continuation of Diagnostic and Treatment Program; Intermediate, Established Patient
92014          Ophthalmological Services: Medical Examination and Evaluation with Initiation or Continuation of Diagnostic and Treatment Program; Comprehensive, Established Patient, One OR More Visits 
92020          Gonioscopy with Medical Diagnostic Evaluation (Separate Procedure)
92060          Sensorimotor Examination with Multiple Measursements of Ocular Deviation and Medical Diagnostic Evaluation (e.g., Restrictive or Paretic Muscle with Diplopia) (Separate Procedure) 
92060    26    Sensorimotor Examination with Multiple Measursements of Ocular Deviation and Medical Diagnostic Evaluation (e.g., Restrictive or Paretic Muscle with Diplopia) (Separate Procedure)
92060   TC     Sensorimotor Examination with Multiple Measursements of Ocular Deviation and Medical Diagnostic Evaluation (e.g., Restrictive or Paretic Muscle with Diplopia) (Separate Procedure)
92065          Orthoptic and/or Pleoptic Training, with Continuing Medical Direction and Evaluation
92065          26   Orthoptic and/or Pleoptic Training, with Continuing Medical Direction and Evaluation
92065          TC  Orthoptic and/or Pleoptic Training, with Continuing Medical Direction and Evaluation
92081          Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Limited Examination (e.g., Tangent Screen, Autoplot, Arc Perimeter, or Single Stimulus Level Automated Test, such as Octopus 3 or 7 Equivalent)
92081        26 Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Limited Examination (e.g., Tangent Screen, Autoplot, Arc Perimeter, or Single Stimulus Level Automated Test, such as Octopus 3 or 7 Equivalent)
92081 TC Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Limited Examination (e.g., Tangent Screen, Autoplot, Arc Perimeter, or Single Stimulus Level Automated Test, such as Octopus 3 or 7 Equivalent)
92082   Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Intermediate Examination (e.g., At Least 2 Isopters on Goldmann Perimeter, or Semiquantative, Automated Suprathreshold Screening Program, Humprey Suprathreshold Automatic Diagnostic Test, Octopus Program 33)
92082 26 Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Intermediate Examination (e.g., At Least 2 Isopters on Goldmann Perimeter, or Semiquantative, Automated Suprathreshold Screening Program, Humprey Suprathreshold Automatic Diagnostic Test, Octopus Program 33)
92082 TC Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Intermediate Examination (e.g., At Least 2 Isopters on Goldmann Perimeter, or Semiquantative, Automated Suprathreshold Screening Program, Humprey Suprathreshold Automatic Diagnostic Test, Octopus Program 33)
92083   Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Extended Examination  (e.g., Goldmann Visual Fields with at Least 3 Isopters Plotted and Static Determination within the Central 300, or Quantitative, Automated Threshold Perimetry, Octopus Program G-1, 32 or 42, Humprey Visual Field Analyzer Full Threshold Programs 30-2, 24-2, or 30/60-2)
92083 26 Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Extended Examination  (e.g., Goldmann Visual Fields with at Least 3 Isopters Plotted and Static Determination within the Central 300, or Quantitative, Automated Threshold Perimetry, Octopus Program G-1, 32 or 42, Humprey Visual Field Analyzer Full Threshold Programs 30-2, 24-2, or 30/60-2)
92083 TC Visual Field Examination, Unilateral or Bilateral, with Medical Diagnostic Evaluation; Extended Examination  (e.g., Goldmann Visual Fields with at Least 3 Isopters Plotted and Static Determination within the Central 300, or Quantitative, Automated Threshold Perimetry, Octopus Program G-1, 32 or 42, Humprey Visual Field Analyzer Full Threshold Programs 30-2, 24-2, or 30/60-2)
92100          Serial Tonometry (Separate Procedure) with Multiple Measurements of Intraocular Pressure Over an Extended Time Period with Medical Diagnostic Evaluation, Same Day (e.g., Diurnal Curve or Medical Treatment of Acute Elevation of Intraocular Pressure)
  
92120          Tonography with Medical Diagnostic Evaluation, Recording Indentation Tonometer Method or Perilimbal Suction Method 
92130          Tonography with Water Provocation
92140          Provocative Tests for Glaucoma, with Medical Diagnostic Evaluation, without Tonography  
92225          Ophthalmoscopy, Extended as for Retinal Detachment ( May Include Use of Contact Lens, Drawing or Sketch, and/or Fundus Biomicroscopy), with Medical Diagnostic Evaluation; Initial
92226 RT   Ophthalmoscopy, Extended as for Retinal Detachment ( May Include Use of Contact Lens, Drawing or Sketch, and/or Fundus Biomicroscopy), with Medical Diagnostic Evaluation; Subsequent   
92226 LT    Ophthalmoscopy, Extended as for Retinal Detachment ( May Include Use of Contact Lens, Drawing or Sketch, and/or Fundus Biomicroscopy), with Medical Diagnostic Evaluation; Subsequent
92230          Ophthalmoscopy, with Medical Diagnostic Evaluation; with Fluorescein Angioscopy (Observation Only)   
92250          Ophthalmoscopy, with Medical Diagnostic Evaluation; with Fundus Photography  
92250   26    Ophthalmoscopy, with Medical Diagnostic Evaluation; with Fundus Photography  
92250   TC    Ophthalmoscopy, with Medical Diagnostic Evaluation; with Fundus Photography  
92260          Ophthalmoscopy, with Medical Diagnostic Evaluation; with Ophtalmodynamometry  
92265        Oculoelectromy, One or More Extraocular Muscles, One or Both Eyes, with Medical Diagnostic Evaluation
92265 26  Oculoelectromy, One or More Extraocular Muscles, One or Both Eyes, with Medical Diagnostic Evaluation  
92265 TC Oculoelectromy, One or More Extraocular Muscles, One or Both Eyes, with Medical Diagnostic Evaluation
92270            Electro-Oculography, with Medical Diagnostic Evaluation (PA Required)   
92270          26 Electro-Oculography, with Medical Diagnostic Evaluation (PA Required)  
92270          TC Electro-Oculography, with Medical Diagnostic Evaluation (PA Required)
92275            Electroretinography, with Medical Diagnostic Evaluation (PA Required)  
92275          26 Electroretinography, with Medical Diagnostic Evaluation (PA Required)   
92275          TC Electroretinography, with Medical Diagnostic Evaluation (PA Required)  
92280          Visually Evoked Potential (Response) Study, with Medical Diagnostic Evaluation      
92280        26 Visually Evoked Potential (Response) Study, with Medical Diagnostic Evaluation
92280        TC Visually Evoked Potential (Response) Study, with Medical Diagnostic Evaluation   
92283          Color Vision Examination, Extended, e.g., Anomaloscope or Equivalent  
92283        26 Color Vision Examination, Extended, e.g., Anomaloscope or Equivalent  
92283        TC Color Vision Examination, Extended, e.g., Anomaloscope or Equivalent  
92284         Dark Adaptation Examination, with Medical Diagnostic Evaluation
92284       26 Dark Adaptation Examination, with Medical Diagnostic Evaluation
92284       TC Dark Adaptation Examination, with Medical Diagnostic Evaluation

 

 

 

 

 

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