CPT code 92015 reports the determination of a patient’s refractive state by measuring their visual acuity. This procedure determines the prescription for corrective lenses or plans for a surgical procedure like LASIK.
What Is CPT Code 92015?
CPT code 92015 describes the determining of a patient’s refractive state. The refractive state measures the patient’s visual acuity, which is the ability to see clearly and sharply.
It is used to determine the amount of correction needed for the patient’s eyes, such as the prescription for eyeglasses or contact lenses, or to plan a surgical procedure like LASIK.
The service of determining the refractive state typically includes a comprehensive examination of the patient’s eyes, including measuring their visual acuity, evaluating their visual function, and determining the presence of any visual disorders or diseases.
The provider may use various tools and tests, such as a Snellen chart, to determine the patient’s refractive state.
92015 is used for the initial refraction service and when there is a significant change in the patient’s refractive state and is often performed by an optometrist and ophthalmologist in an office setting.
The CPT book describes CPT code 92015 as: “Determination of refractive state.”
The critical aspect of optometry is determining if a patient’s vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.
The provider, typically an optometrist or an ophthalmologist, will begin the process by having the patient look at a standardized vision chart, such as a Snellen chart. This chart is a standardized measure of visual acuity and is often used to determine a patient’s refractive state.
The provider will then add lenses of varying power and adjust other settings, such as the distance between the patient and the chart while asking the patient if their vision is better or worse.
This process is carried out until the patient’s vision is corrected as near to normal, called 20/20 vision, as possible.
Once the provider has determined the patient’s final refractive state, they will write the settings and the power of lenses used as a prescription. An optician or optometrist will then use this prescription to produce the necessary eyeglasses or contact lenses.
It’s worth noting that this process is limited to determining the prescription for eyeglasses or contact lenses and surgical procedures, such as LASIK. Next, the provider will use this information to determine the appropriate treatment plan for the patient.
How To Use CPT 92015
CPT code 92015 can even be used even if the ophthalmologist does not give a new prescription.
Keep in mind that Medicare does not cover CPT 92015. Make sure to check with the patient’s insurance provider about payment details.
If 92015 is not covered, inform the patient that they will be responsible for payment.
CPT code 92015 can not be used in conjunction with codes CPT 99173, CPT 99174, or CPT 99177.
CPT 99174 or CPT 99177 can be used for instrument-based ocular screening.