How To Use CPT Code 92082

CPT 92082 describes the visual field examination at an intermediate level, including interpretation and report generation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92082?

CPT 92082 can be used to describe the visual field examination performed by a healthcare provider at an intermediate level. This examination assesses the extent of a patient’s visual field, including their peripheral vision. The test measures how far the patient can see objects in different directions while focusing on a fixed point. The provider uses techniques such as Goldmann perimeter testing or automated suprathreshold screening programs to evaluate the patient’s visual field. CPT 92082 includes the interpretation of the test results and the generation of a report.

2. Official Description

The official description of CPT code 92082 is: ‘Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (e.g., at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33).’

3. Procedure

1. The healthcare provider performs a visual field examination to assess the patient’s peripheral vision.
2. The examination can be conducted using different methods, such as Goldmann perimeter testing or automated suprathreshold screening programs.
3. The provider selects an intermediate level examination, which may involve at least 2 isopters on a Goldmann perimeter or other specific criteria.
4. The patient focuses on a fixed point while the provider presents stimuli in different directions to determine the extent of their visual field.
5. The provider interprets the results of the examination, analyzing the patient’s ability to see objects in various directions.
6. A report is generated, documenting the findings of the visual field examination.

4. Qualifying circumstances

CPT 92082 is used for patients who require an intermediate level visual field examination. This examination is typically performed to assess the extent of a patient’s peripheral vision. The test may be necessary for diagnosing and monitoring conditions such as glaucoma, retinal diseases, or neurological disorders affecting vision. The provider must use specific methods, such as Goldmann perimeter testing or automated suprathreshold screening programs, and meet the criteria for an intermediate examination, which may include at least 2 isopters on a Goldmann perimeter or other specified parameters.

5. When to use CPT code 92082

CPT code 92082 should be used when a healthcare provider performs an intermediate level visual field examination, including interpretation and report generation. This code is appropriate for patients who require a more detailed assessment of their peripheral vision. It is important to ensure that the examination meets the criteria for an intermediate examination, as specified in the code description. If the examination does not meet these criteria, a different code may be more appropriate.

6. Documentation requirements

To support a claim for CPT 92082, the healthcare provider must document the following information:

• Reason for performing the visual field examination
• Specific method used for the examination (e.g., Goldmann perimeter, automated suprathreshold screening program)
• Date of the examination
• Interpretation of the test results
• Any relevant findings or abnormalities
• Generation of a report documenting the examination and its results

7. Billing guidelines

When billing for CPT 92082, ensure that the visual field examination meets the criteria for an intermediate level examination. The provider should use the appropriate method, such as Goldmann perimeter testing or automated suprathreshold screening programs. It is important to follow the specific documentation requirements and include all necessary information in the claim. Additionally, consider any specific billing guidelines provided by payers or insurance companies to ensure accurate reimbursement for the service.

8. Historical information

CPT 92082 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with glaucoma undergoes an intermediate level visual field examination using a Goldmann perimeter, and the results show significant peripheral vision loss.
2. A neurologist performs an intermediate visual field examination on a patient with suspected optic nerve damage, using an automated suprathreshold screening program.
3. An ophthalmologist conducts an intermediate level visual field examination on a patient with retinal diseases, using a specific method to assess their peripheral vision.
4. A patient with a history of stroke undergoes an intermediate visual field examination to evaluate any potential visual field deficits.
5. A healthcare provider performs an intermediate level visual field examination on a patient with a suspected neurological disorder affecting their vision, using a specialized method to assess their peripheral vision.
6. An optometrist conducts an intermediate visual field examination on a patient with a family history of glaucoma, using a specific method to assess their peripheral vision.
7. A patient with a history of head trauma undergoes an intermediate level visual field examination to assess any potential visual field abnormalities.
8. An ophthalmologist performs an intermediate visual field examination on a patient with diabetic retinopathy, using a specific method to evaluate their peripheral vision.
9. A neurologist conducts an intermediate level visual field examination on a patient with multiple sclerosis, using a specialized method to assess their peripheral vision.
10. A healthcare provider performs an intermediate visual field examination on a patient with a suspected pituitary tumor, using a specific method to evaluate their peripheral vision.