Coding revisions and additions for 2018 must be used starting with claims that have dates of service of Jan. 1, 2018.

Be aware of code changes that could impact your practice

"One clarification has been made to the eye exam codes 92002; 92004; 92012; 92014."

Excerpted from page 44 of the January/February 2018 edition of AOA Focus.

Current Procedural Terminology (CPT®) changes occur each year. Coding revisions and additions for 2018 must be used starting with claims that have dates of service of Jan. 1, 2018. It is critical for doctors of optometry to be aware of code changes that may impact optometric practice.

Access AOA coding resources

The following resources are available to help AOA members stay abreast of code changes and the latest coding information:

Thankfully, for 2018 there are not significant code changes related to general ophthalmological services or special ophthalmological services codes. One clarification has been made to the eye exam codes 92002; 92004; 92012; 92014.

To avoid any confusion and to make a clear distinction between those who provide eye examination services and those who provide vision screening services, for 2018, CPT added one additional code to the list of codes that should not be reported with the eye exam codes:

  • 0469T Retinal polarization scan, ocular screening with on-site automated results, bilateral  

This code was added to the other screening codes that also should not be reported with CPT 92002; 92004; 92012; 92014. Those codes include:

  • 99173 Screening test of visual acuity, quantitative, bilateral
  • 99174 Instrument-based ocular screening (e.g., photoscreening, automated refraction), bilateral; with remote analysis and report
  • 99177 Instrument-based ocular screening (e.g., photoscreening, automated refraction), bilateral; with remote analysis and report with on-site analysis   

These exclusions clarify that these codes should not be used with any of the eye examination codes that are most frequently reported by the eye care professions-optometry and ophthalmology.

To make suggestions for coding support,
send an email to Kara Webb, AOA's associate director for coding and regulatory policy, or call 703.837.1018.

February 14, 2018

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