Code: 92014
Description: Comprehensive eye examination including elements of new and existing patient examinations, but often more extensive
Context: This code is utilized for comprehensive eye examinations for established patients. It involves a detailed and complete evaluation of the eye and adnexal structures, typically more extensive than the general eye examination.
Guidelines for Proper Use
- Comprehensive Eye Examination for Established Patients: Apply 92014 for detailed eye examinations of established patients. This includes a complete assessment of the patient’s vision and eye health.
- Documentation of Examination Details: Ensure that healthcare providers’ documentation reflects the comprehensive nature of the eye examination. This should include tests performed, findings, and any treatment plans.
- Distinction from New Patient Examinations: Do not use 92014 for initial eye examinations of new patients. There are specific codes for new 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 92014 in accordance with standard ophthalmic examination guidelines and protocols, as well as payer-specific rules.
Common Misuses of 92014
- Using for Initial Patient Examinations: A common misuse is applying 92014 for the initial examination of new patients. This code is designated for established patients.
- Confusion with Intermediate Eye Examinations: Misuse occurs if 92014 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 an established patient.
