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92014 or 99214

Pessie Posted Tue 27th of November, 2012 16:17:24 PM

which code is right for office visit for Ophthalmology? Why do I see folks on the email list referring to 99214 most of the time?

SuperCoder Answered Wed 28th of November, 2012 03:25:12 AM

92014-For this CPT code, an Ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group practice (or any physician of the same specialty who is billing under the same group number), has seen the patient for a face–to–face service within the past 36 months.

Physician Responsibility
The physician may initiate new treatment or continue with the existing treatment plan based on the patient's problem and symptoms. The physician reviews the patient's medical history, performs a complete general external examination, and may conduct a few diagnostic eye tests such as slit–lamp viewing, exophthalmometry, tonometry, biomicroscopy, retinoscopy, etc. for detailed examination purposes. The entire service may take more than one session between the patient and the physician.

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