Ophthalmology CPT Codes and Modifiers for 2025

Ophthalmology practices perform a wide variety of services—from routine eye exams and imaging to complex surgical procedures. To ensure your claims are paid promptly and accurately, you need to stay current with CPT codes and modifiers for 2025.

This guide outlines the most commonly used Ophthalmology CPT codes and modifiers, plus coding tips to help your billing team stay compliant and maximize reimbursements.

Evaluation & Management (E/M) Codes

Diagnostic Testing & Imaging

Common Ophthalmic Procedures

Commonly Used Modifiers in Ophthalmology

Common ICD-10 Codes in Ophthalmology

Ophthalmology Coding Tips for 2025

• Use eye codes or E/M codes appropriately: Choose based on complexity and content of the visit.
• Include laterality when required: RT/LT modifiers are crucial.
• Use -25 carefully: Make sure documentation supports billing E/M alongside minor procedures.
• Watch global periods: Especially after surgeries like cataracts or YAG.

Final Thoughts

Billing in ophthalmology can get complex fast—especially when dealing with imaging, surgical procedures, and post-op rules. Using the correct Ophthalmology CPT codes and modifiers in 2025 helps reduce denials, get paid faster, and keep your practice compliant.

For informational purposes only.