Eye care billing mixes surgery, imaging and costly injections, and each has its own coverage rules.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 66984 | Cataract surgery with lens implant | Laterality and ASC vs office rules apply |
| 66982 | Complex cataract surgery | Documentation must show the added complexity |
| 92014 | Eye exam, comprehensive, established patient | Choose between eye codes and E/M by medical decision-making and services |
| 92134 | OCT imaging of the retina | Check payer frequency limits |
| 92083 | Visual field exam, extended | Medical necessity needs a supporting diagnosis |
| 67028 | Injection into the eye (intravitreal) | Bill the drug separately with units |
| 65855 | Laser treatment for glaucoma (trabeculoplasty) | Laterality required |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.