You Be the Expert: Exam Without Dilation

Question: Can we bill for a comprehensive eye exam with 92004/92014 if the optometrist did not dilate the patient and examine the eyes through dilated pupils?

Massachusetts Subscriber

Answer: There are some instances when the optometrist may not think that dilation is needed for a thorough exam. A patient may have large pupils that the optometrist doesn't need to dilate to get a good view. Or, the optometrist may think that a patient with certain conditions shouldn't risk dilation. Such cases are the exception to the rule, but they shouldn't prevent you from billing for comprehensive services.

CPT states that a comprehensive ophthalmological [...]

- Published on 2012-01-19