Optometric Procedure Codes
Evaluation and Management Codes
|
Procedure Code |
Modifier |
Description |
| 92285 | External Ocular Photography with medical diagnostic evaluation for documentation of medical progress (e.g., close-up photography, slit lamp photography, goniophotography, stereo-photography) | |
| 92285 | 26 | External Ocular Photography with Medical Diagnostic Evaluation for Documentation of Medical Progress (e.g., Close-Up Photography, Slit Lamp Photography, Goniophotography, Stereo-Photography) |
| 92285 | TC | External Ocular Photography with Medical Diagnostic Evaluation for Documentation of Medical Progress (e.g., Close-Up Photography, Slit Lamp Photography, Goniophotography, Stereo-Photography) |
| 92286 | Special Anterior Segment Photography with Medical Diagnostic Evaluation; with Specular Endothelial Microscopy and Cell Count | |
| 92286 | 26 | Special Anterior Segment Photography with Medical Diagnostic Evaluation; with Specular Endothelial Microscopy and Cell Count |
| 92286 | TC | Special Anterior Segment Photography with Medical Diagnostic Evaluation; with Specular Endothelial Microscopy and Cell Count |
| 92310 | Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, with Medical Supervision of Adaptation; Corneal Lens, Both Eyes, Except for Aphakia | |
| 92310*+ | 52 | Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, with Medical Supervision of Adaptation; Corneal Lens, Both Eyes, Except for Aphakia |
| 92311* | Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, with Medical Supervision of Adaptation; Corneal Lens, for Aphakia, One Eye | |
| 92312* | Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, with Medical Supervision of Adaptation; Corneal Lens, for Aphakia, Both Eyes | |
| 92313* | Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, with Medical Supervision of Adaptation; Corneoscleral Lens | |
| 92314* ++ | Prescription of Optical and Physical Characteristics of Contact Lens, with Medical Supervision of Adaptation and Direction of Fitting by Independent Technician; Corneal Lens, Both Eyes, Except for Aphakia | |
| 92315* ++ | Prescription of Optical and Physical Characteristics of Contact Lens, with Medical Supervision of Adaptation and Direction of Fitting by Independent Technician; Corneal Lens, One Eye, for Aphakia | |
| 92316* ++ | Prescription of Optical and Physical Characteristics of Contact Lens, with Medical Supervision of Adaptation and Direction of Fitting by Independent Technician; Corneal Lens, Both Eyes, for Aphakia | |
| 92317* ++ | Prescription of Optical and Physical Characteristics of Contact Lens, with Medical Supervision of Adaptation and Direction of Fitting by Independent Technician; Corneoscleral Lens | |
| 92326* | Replacement of Contact Lens | |
| 92330 | Prescription, Fitting, and Supply of Ocular Prosthesis, with Medical Supervision of Adaptation | |
| 92335* ++ | Prescription of Ocular Prosthesis and Direction of Fitting and Supply by Independent Technician, with Medical Supervision of Adaptation | |
| 92340 | Fitting of Spectacles, Except for Aphakia; Monofocal | |
| 92341 | Fitting of Spectacles, Except for Aphakia; Bifocal | |
| 92342 | Fitting of Spectacles, Except for Aphakia; Multifocal, Other Than Bifocal | |
| 92352 | Fitting of Spectacle Prosthesis for Aphakia; Monofocal | |
| 92353 | Fitting of Spectacle Prosthesis for Aphakia; Multifocal | |
| 92370 | Repair and Refitting Spectacles; Except for Aphakia | |
| 92371 | Repair and Refitting Spectacles; Special Prosthesis for Aphakia | |
| 92390* | Supply of Spectacles, Except Prosthesis for Aphakia and Low Vision Aids | |
| 92392 | Supply of Low Vision Aids (A Low Vision Aid is Any Lens or Device Used to Aid or Improve Visual Function in a Person Whose Vision Cannot Be Normalized by Conventional Spectacle Correction. Includes Reading Additions Up to 4d.) | |
| 99201 | Office or Other Outpatient Visit for the Evaluation and Management of a New Patient, Which Requires These Three Key Components: A Problem Focused History; A Problem Focused Examination; and Straightforward Medical Decision Making | |
| 99202 | Office or Other Outpatient Visit for the Evaluation and Management of a New Patient, Which Requires These Three Key Components: An Expanded Problem Focused History; An Expanded Problem Focused Examination; and Straightforward Medical Decision Making. | |
|
99203 |
Office or Other Outpatient Visit for the Evaluation and Management of a New Patient, Which Requires These Three Key Components: A Detailed History; A Detailed Examination; and Medical Decision Making of Low Complexity. | |
| 99204 | Office or Other Outpatient Visit for the Evaluation and Management of a New Patient, Which Requires These Three Key Components: A Comprehensive History; A Comprehensive Examination; and Medical Decision Making of Moderate Complexity. | |
| 99205 | Office or Other Outpatient Visit for the Evaluation and Management of a New Patient, Which Requires These Three Key Components: A Comprehensive History; A Comprehensive Examination; and Medical Decision Making of High Complexity. | |
| 99212 | Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient, Which Requires at Least Two of These Three Key Components: A Problem Focused History; A Problem Focused Examination; Straightforward Medical Decision Making | |
| 99213 | Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient, Which Requires at Least Two of These Three Key Components: An Expanded Problem Focused History; An Expanded Problem Focused Examination; Medical Decision Making. | |
| 99214 | Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient, Which Requires at Least Two of These Three Key Components: A Detailed History; A Detailed Examination; and Medical Decision Making of Moderate Complexity. | |
| 99215 | Office or Other Outpatient Visit for the Evaluation and Management of An Established Patient, Which Requires at Least Two of These Three Key Components: A Comprehensive History; A Comprehensive Examination; and Medical Decision Making of High Complexity. |
* Prior Authorization required for this procedure.
++ Massachusetts provider only may bill for this procedure.