CPT Code 92014, 92014, cpt 92014, 92014 cpt, 92014 cpt code

CPT 92014 | Ophthalmological Examination & Evaluation | Established Patient

CPT code 92014 describes a comprehensive medical examination and evaluation for an established patient and includes initiation or continuation of a diagnostic and treatment program.

What Is CPT Code 92014?

CPT code 92014 reports a medical examination and evaluation performed by an ophthalmologist for an established patient.

CPT 92014 includes the initiation or continuation of a diagnostic and treatment program. This means that the physician may either start a new treatment plan or continue with an existing one based on the patient’s problem and symptoms.

The examination is considered “comprehensive,” which means that it includes a wide range of ophthalmological services such as;

  • a review of the patient’s medical history;
  •  exophthalmometry;
  •  a complete general external examination;
  •  slit-lamp viewing;
  •  tonometry;
  •  biomicroscopy; and
  •  retinoscopy.

The 92014 procedure can be done in one or more visits. The examination may take place over multiple sessions, and the physician will use the information gathered to determine the best course of treatment for the patient.

Description

The CPT book describes CPT code 92014 as: “Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, one or more visits.”

Procedure

An ophthalmologist conducts a comprehensive eye examination for an established patient.

The examination is considered an “established” visit as it is done by a physician the patient has seen before. This is important as it allows the physician to understand better the patient’s medical history and any previous eye-related issues they may have had.

During the examination, the physician will review the patient’s medical history. This is necessary to determine potential risk factors for eye diseases or conditions.

The physician will conduct a thorough general external examination of the eyes, looking for any abnormalities or signs of disease, and may include inspecting the eyelids, conjunctiva, cornea, iris, pupil, and lens.

After the general examination, the physician conducts a series of diagnostic eye tests to understand the patient’s eye health better.

These tests include slit-lamp viewing, exophthalmometry, tonometry, biomicroscopy, and retinoscopy.

Slit-lamp viewing is a diagnostic test that uses a special microscope to examine the front and back of the eye, including the cornea, lens, and retina.

Exophthalmometry is used to measure the protrusion of the eye and is often used to diagnose conditions such as Graves’ disease.

Tonometry is a test that measures the pressure inside the eye, which is crucial in detecting and monitoring glaucoma.

Biomicroscopy is a diagnostic test that uses a microscope to examine the front of the eye, including the cornea, iris, pupil, and lens.

Retinoscopy is a test that uses light to measure the eye’s refractive error and is used to determine the appropriate prescription for glasses or contact lenses.

The full service may take more than one session between the patient and the physician, depending on the patient’s problem and symptoms.

After the examination, the physician will use the information gathered to initiate new treatment or continue with the existing treatment plan. This can include prescribing medication, recommending therapy or lifestyle changes, or referring the patient to a specialist.

How To Use CPT 92014

CPT code 92014 can not be reported in conjunction with CPT 99173, CPT 99174, CPT 99177, or CPT 0469T.

To meet most insurers’ requirements for a comprehensive exam, make sure that the provider to documents nine of the following elements;

  1. visual acuity;
  2.  cornea;
  3.  gross visual fields;
  4.  eyelids and adnexa;
  5.  pupils;
  6.  iris;
  7.  conjunctiva;
  8.  anterior chamber;
  9.  ocular motility;
  10.  lens;
  11.  retina;
  12.  intraocular pressure; and
  13.  optic disc.

If less than three of these elements are documented, an intermediate exam (CPT 92002 or CPT 92012) or a low-level E/M code (CPT 99202 to CPT 99215) may be more appropriate.

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