11468 US Highway

Guntersville, AL 35976

Phone Number

(844) 883-5723

Office Hours

Mon - Fri 9am - 5pm

CPT Code 92004: Overview

Code: 92004
Description: Comprehensive eye examination including elements of a new patient examination, often more extensive
Context: This code is used for comprehensive eye examinations specifically for new patients. It involves a detailed and complete evaluation of the eye and adnexal structures, usually more extensive than routine eye examinations.

Guidelines for Proper Use

  • Comprehensive Eye Examination for New Patients: Apply 92004 for detailed eye examinations of new patients. This includes a full assessment of the patient’s vision and eye health.
  • Documentation of Examination Details: Ensure healthcare providers’ documentation reflects the comprehensive nature of the eye examination. This should include all tests performed, findings, and any treatment plans.
  • Distinction from Established Patient Examinations: Do not use 92004 for subsequent eye examinations of established patients. There are specific codes for established patient eye exams.
  • Inclusion of Various Examination Components: This code covers a range of examination elements, such as assessment of visual acuity, ocular motility, visual fields, and health of ocular structures.
  • Compliance with Ophthalmic Examination Protocols: Use 92004 in accordance with standard ophthalmic examination guidelines and protocols, as well as payer-specific rules.

Common Misuses of 92004

  • Using for Established Patient Examinations: A common misuse is applying 92004 for the examination of established patients. This code is designated for new patients.
  • Confusion with Intermediate Eye Examinations: Misuse occurs if 92004 is used for intermediate or less comprehensive eye examinations.
  • Omission of Comprehensive Examination Elements: This code should not be used if the examination is not comprehensive in nature, covering all necessary aspects of a full eye examination for a new patient.
Tags :
Share This :

Where should we send your quote(s)?

We'll send it directly to your inbox

How many providers does your practice have?

We'll find a billing company that can support your needs

Where is your practice located?

We'll find a billing company that serves providers in your area