Ophthalmology CPT Codes & Modifiers for 2022

Staying up-to-date on ophthalmology CPT codes and modifiers is a key part of running a successful practice. Below is a cheat sheet to use for understanding ophthalmology CPT codes in 2022.

Ophthalmology CPT Code Ranges in 2022

Below is a general list of the code ranges for ophthalmology services and procedures in 2022:

• 92002-92014 – General Ophthalmological Services and Procedures
• 92002-92004 – New Patient General Ophthalmological Services and Procedures
• 92012-92014 – Established Patient General Ophthalmological Services and Procedures
• 92015-92287 – Special Ophthalmological Services and Procedures
• 92015-92145 – Ophthalmological Examination and Evaluation Procedures
• 92201-92260 – Ophthalmoscopy Procedures
• 92265-92287 – Other Specialized Ophthalmological Services and Procedures
• 92310-92326 – Contact Lens Services
• 92340-92371 – Spectacle Services (Including Prosthesis for Aphakia)
• 92499 – Other Ophthalmological Services or Procedures

Ophthalmology Modifiers

Below is a list of the common modifiers used in ophthalmology billing:

• RT – right eye
• LT – left eye
• E1 – upper left eyelid
• E2 – lower left eyelid
• E3 – upper right eyelid
• E4 – lower right eyelid
• 24 – Use for unrelated E/M by the same doctor during the postoperative period
• 25 – Used when a distinct service is provided by the same doctor on the same day as another procedure
• 51 – Use when multiple procedures are performed on the same day during the same encounter
• 59 – Used when two different procedures that are not normally reported together are appropriately billed together under the set circumstances
• 79 – Use for unrelated procedures during the postoperative period performed by the same doctor

Learn more in our guide to ophthalmology medical billing, or contact us to learn more about our ophthalmology medical billing services.

For informational purposes only.