Optometry Coding: Eye Exams, Cataract Surgery and Co-Management

E/M or Eye Code? Choose Wisely With These Documentation Tips

Use the 99200 codes for patients with specific problems — but make sure your documentation backs them up

Optometrists can use their own set of codes for ophthalmic evaluations instead of the evaluation and management codes, but the codes are not interchangeable. Each one describes an optometrist’s services in a slightly different way.

Both sets of codes — the E/M codes (99201-99215, Office or other outpatient visit …) and, in the “Medicine” section of CPT, the general ophthalmological services codes (92002-92014, Ophthalmological services; medical examination and evaluation …) — describe office visits.

“Optometry and ophthalmology are the only specialties to have their own set of codes to use for exams,” says David Gibson, OD, FAAO, a practicing optometrist...

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