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CPT 92004 is a code used in the medical billing and coding system to describe a comprehensive eye examination for new patients. This examination includes a detailed assessment of the patient's history, vision, and ocular health, along with various diagnostic tests. It typically involves an evaluation of the visual system and may include procedures such as refraction and the assessment of the eye's structure and function. The code is used by eye care professionals, such as optometrists and ophthalmologists, to bill for their services.
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What does medical code 92004 stand for?
CPT Code 92004 - Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits
What Is cpt code 92004?
CPT code 92004 refers to a comprehensive ophthalmological examination, which includes a detailed evaluation of the patient's visual system, medical history, and any necessary diagnostic tests. This code is typically used for new patients or those returning after a significant absence. The examination may involve various assessments such as visual acuity, pupil response, and fundus examination. It is important for documenting and billing for the services provided during the eye examination.
Does medical code 92004 include refraction 92015?
A 92004 does not include a 92015; 99204 does include a 92015.
Can you bill 92004 with 92015?
No, you cannot bill 92004 (comprehensive eye examination) and 92015 (refraction) together on the same date of service if the refraction is considered part of the comprehensive exam. Typically, the refraction is included in the evaluation and management of the eye exam, so billing for both separately is generally not allowed. Always check specific payer guidelines, as rules may vary.
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What is medical code 92004?
Medical code 92004 refers to a comprehensive ophthalmological examination, including a history, examination, and medical decision-making for a new patient. This code is typically used when a patient presents with a new eye-related issue, requiring a thorough assessment of their eye health and vision. The examination may involve various tests and evaluations to diagnose potential conditions or diseases of the eye.
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