LOW VISION EXAM 92005 LOW VISION EXAMINATION (SCCB CLINIC) 95.00 ESTABLISHED PATIENT 92012 INTERMEDIATE/RE-EXAM ESTABLISHED PATIENT 52.13 92014 DILATED/INTERMEDIATE EXAM ESTABLISHED PATIENT 76.26 SPECIAL OPHTHALMOLOGICAL SERVICES 92015 DETERMINATION OF REFRACTIVE STATE 24.65 92020 GONIOSCOPY, NOT PART OF COMPLETE EYE EXAM 17.67 92025 COMPUTERIZED CORNEAL TOPOGRAPHY, UNILATERAL OR 22.59 BILATERAL, 26 INTERPRETATION AND REPORT 13.28 92081 VISUAL FIELDS EXAMINATION, UNILATERAL OR BILATERIAL 34.59 26 INTREPRETATION 13.56 92082 HUMPHREY VISUAL FIELDS EXAMINATION, INTERMEDIATE 45.76 26 INTREPRETATION 16.58 92083 GOLDMANN VISUAL FIELDS EXTENDED EXAM 52.29 26 INTREPRETATION 19.03 SERIAL TONOMETRY (SEPARATE PROCEDURE) WITH MULTIPLE 92100 MEASUREMENTS OF INTRAOCULAR PRESSURE 59.01 SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC 21.47 26 IMAGING 12.45 INTERPRETATION 92133 SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC (OCT) 26.41 26 INTREPRETATION 17.38 92134 SCANNING COMPUTERIZED OPHTHALMIC (OCT) 26.41 26 INTREPRETATION 17.38 92136 OPHTHALMIC BIOMETRY BY PARTIAL COHERENCE 53.91 INTERFEROMETRY WITH IOL POWER CALCULATION 26 INTREPRETATION 20.93 CPT CODE DESCRIPTION OF SERVICES FEE
LOW VISION EXAM 92005 LOW VISION EXAMINATION (SCCB CLINIC) 95.00 ESTABLISHED PATIENT 92012 INTERMEDIATE/RE-EXAM ESTABLISHED PATIENT 52.13 92014 DILATED/INTERMEDIATE EXAM ESTABLISHED PATIENT 76.26 SPECIAL OPHTHALMOLOGICAL SERVICES 92015 DETERMINATION OF REFRACTIVE STATE 24.65 92020 GONIOSCOPY, NOT PART OF COMPLETE EYE EXAM 17.67 92025 26 COMPUTERIZED CORNEAL TOPOGRAPHY, UNILATERAL OR BILATERAL, INTERPRETATION AND REPORT 22.59 13.28 92081 26 VISUAL FIELDS EXAMINATION, UNILATERAL OR BILATERIAL INTREPRETATION 34.59 13.56 92082 26 HUMPHREY VISUAL FIELDS EXAMINATION, INTERMEDIATE INTREPRETATION 45.76 16.58 92083 26 GOLDMANN VISUAL FIELDS EXTENDED EXAM INTREPRETATION 52.29 19.03 92100 SERIAL TONOMETRY (SEPARATE PROCEDURE) WITH MULTIPLE MEASUREMENTS OF INTRAOCULAR PRESSURE 59.01 26 SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING INTERPRETATION 21.47 12.45 92133 26 SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC (OCT) INTREPRETATION 26.41 17.38 92134 26 SCANNING COMPUTERIZED OPHTHALMIC (OCT) INTREPRETATION 26.41 17.38 92136 26 OPHTHALMIC BIOMETRY BY PARTIAL COHERENCE INTERFEROMETRY WITH IOL POWER CALCULATION INTREPRETATION 53.91 20.93 CPT CODE DESCRIPTION OF SERVICES FEE
CPT%20CODE%20LIST%202014-2015.docx