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Ophthalmology CPT Codes & Modifiers for 2022

Updated codes for 2022
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Jan 18, 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.

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