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 |