Samantha Posted Mon 02nd of March, 2020 13:35:47 PM
Supercoder states for CPT 92012- initiation or continuation of diagnostic and treatment program; intermediate, established patient. Would billing 92012 require a new problem or just a continuation of the treatment already established, IE- eye drop therapy?
SuperCoder Answered Tue 03rd of March, 2020 04:13:42 AM
Intermediate ophthalmological service CPT code 92012 describes an evaluation of a new or existing condition complicated with an acute problem that may not be related to the primary diagnosis including the review of previous history, a general examination, a few diagnostic procedures.
The main difference between 92012 and 92014 is that 92014 is for comprehensive evaluation which includes dilation unless medically contraindicated.
A comprehensive exam (92014 for an established patient or 92004 for a new patient) also includes more exam components than an intermediate exam (92012 for an established patient or 92002 for a new patient).