Ophthalmology


Ophthalmology Revenue Cycle Management Services

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ICD-10 Ophthalmology Superbill Example

Appointment Date & Time: Last Seen Date:
Patient: Gender: DOB: MR# Pat Due: INS Due:
Address: Reason:
Home Phone: Cell Phone: E-Mail:
Case Name: Case No: Case Type: Case Date:
Pr Insurance: Member ID: Co-Pay Amount: Deductible:
Rendering Provider: PCP: Referring Provider:
CPT CODES
CPT CodeDescriptionCPT CodeDescriptionCPT CodeDescription
92004Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, one or more visits92002Ophthalmological services; medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient92140Provocative tests for glaucoma, with medical diagnostic evaluation, without tonography
92014Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, one or more visitsD 92004Comprehensive, new patient, one or more visitsD 92225Ophthalmoscopy, extended as for retinal detachment (may include use of contact lens, drawing or sketch, and/or fundus biomicroscopy), with medical diagnostic evaluation; initial
99204 – 99205Office or other outpatient visit for the evaluation and management of a new patient92012Ophthalmological services; medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient.D 92226 xWith ophthalmodynamometry
99214 – 99215Office or other outpatient visit for the evaluation and management of an established patient; moderate to high complexityD 92014Comprehensive, established patient, One or more visitsD 92250With fundus photography
99244 – 99245Office consultation for a new or established patient; moderate to high severity; 60-80 minutesD 92020Conioscopy with medical diagnostic evaluation (separate procedure).D 92260With ophthalmodynamometry
92250Fundus Photography92060Sensorimotor examination with medical diagnostic evaluation (separate procedure).92270Electro-oculography, with medical diagnostic evaluation
76510Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter92065Orthoptic and/or pleoptic training, with continuing medical direction and evaluationD 92275 Electroretinography, with medical diagnostic evaluation
76511Ophthalmic ultrasound, diagnostic, A-scan onlyT 92070Fitting of contact lens for treatment of disease, including supply of lens92280Visually evoked potential (response) study, with medical diagnostic evaluation
76512Ophthalmic ultrasound, diagnostic, contact B-scan (with or without A scan)92081Visual field examination with medical diagnostic evaluation; tangent screen; autoplot or equivalent92283Color vision examination, extended, e.g., anomaloscope or equivalent
76513Ophthalmic ultrasound, diagnostic, immersion (water bath) B-scan92082Quantitative perimetry, e.g., several isopters on Goldmann perimeter, or equivalent92284Dark adaptation examination, with medical diagnostic evaluation
76514Ophthalmic ultrasound, corneal pachymetry92083Static and kinetic perimetry, or equivalent92285External ocular photography for documentation of medical progress
76516Ophthalmic biometry by ultrasound, A-scan92100Serial tonometry with medical diagnostic evaluation (separate procedure), one or more sessions, same day92286 Specular endothelial microscopy with photographic documentation, medical evaluation and report
76519Ophthalmic biometry by ultrasound, A-scan w/intraocular lens power calculationD 92120Tonography with medical diagnostic evaluation, recording indentation tonometer method or perilimbal suction method65205Removal of foreign body, external eye; conjunctival superficial
76529Echo exam of eye for foreign bodyD 92130Tonography with water provocation67820Correction trichiasis; epilation, forceps only
ICD CODES
ICD-10DescriptionICD-10DescriptionICD-10Description
H52.00Hypermetropia, unspecified eyeH52.513Internal ophthalmoplegia (complete) (total), bilateralD23.10-D23.12Other benign neoplasm of skin of eyelid, including canthus
H52.01Hypermetropia, right eyeH52.519Internal ophthalmoplegia (complete) (total), unspecified eyeD31.00-D31.92Benign neoplasm of eye and adnexa
H52.02Hypermetropia, left eyeH52.521Paresis of accommodation, right eyeE08.00-E13.9Diabetes mellitus
H52.03Hypermetropia, bilateralH52.522Paresis of accommodation, left eyeG35Multiple sclerosis
H52.10Myopia, unspecified eyeH52.523Paresis of accommodation, bilateralG45.3Amaurosis fugax
H52.11Myopia, right eyeH52.529Paresis of accommodation, unspecified eyeG93.0-G93.2Other disorders of brain
H52.12Myopia, left eyeH52.531Spasm of accommodation, right eyeH01.001-H02.9Other inflammation of eyelid
H52.13Myopia, bilateralH52.532Spasm of accommodation, left eyeH15.001- H43.9Disorders of sclera
H52.201Unspecified astigmatism, right eyeH52.533Spasm of accommodation, bilateralH44.121- H44.129Parasitic endophthalmitis, unspecified
H52.202Unspecified astigmatism, left eyeH52.539Spasm of accommodation, unspecified eyeH44.50- H44.539Degenerated conditions of globe
H52.203Unspecified astigmatism, bilateralH52.6Other disorders of refractionH44.811- H49.9Other disorders of globe
H52.209Unspecified astigmatism, unspecified eyeH52.7Unspecified disorder of refractionH50.21- H51.9Vertical strabismus
H52.211Irregular astigmatism, right eyeH53.71Glare sensitivityH53.10- H53.489Subjective visual disturbances
H52.212Irregular astigmatism, left eyeH53.72Impaired contrast sensitivityH53.60- H53.69Night blindness
H52.213Irregular astigmatism, bilateralH53.8Other visual disturbancesH54.0- H57.9Blindness
H52.219Irregular astigmatism, unspecified eyeH53.9Unspecified visual disturbanceH59.40- H59.43Inflammation (infection) of postprocedural bleb
H52.221Regular astigmatism, right eyeZ01.00Encounter for examination of eyes and vision without abnormal findingsQ10.0- Q15.9Congenital malformations of eyelid, lacrimal apparatus and orbit
H52.222Regular astigmatism, left eyeZ01.01Encounter for examination of eyes and vision with abnormal findingsR44.1Visual hallucinations
H52.223Regular astigmatism, bilateralA18.50-A18.59Tuberculosis of eyeS00.10XA- S00.279SContusion of eyelid and periocular area
H52.229Regular astigmatism, unspecified eyeA74.0Chlamydial conjunctivitisS05.00XA- S05.12XSInjury of conjunctiva and corneal abrasion without foreign body
H52.31AnisometropiaB30.0-B30.9Viral conjunctivitisS05.8X1A-S05.92XSOther injuries of right eye and orbit
H52.32AniseikoniaB39.4-B39.9HistoplasmosisT15.00XA- T15.92XSForeign body in cornea
H52.4PresbyopiaB60.13Keratoconjunctivitis due to AcanthamoebaT85.310A- T85.398SBreakdown (mechanical) of prosthetic orbit of right eye
H52.511Internal ophthalmoplegia (complete) (total), right eyeC44.101-C44.199Other and unspecified malignant neoplasm of skin of eyelid, including canthusT86.840- T86.849Corneal transplant rejection
H52.512Internal ophthalmoplegia (complete) (total), left eyeD22.10-D22.12Melanocytic nevi of eyelid, including canthusH53.001- H53.039Amblyopia
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