92012

This alphanumeric designator represents a level of ophthalmological service focused on a general ophthalmological examination. It encompasses a comprehensive assessment of the visual system, involving initiation of diagnostic and treatment programs. For example, during this type of evaluation, a physician or qualified healthcare professional may assess a patient’s visual acuity, ocular motility, and perform a slit-lamp examination to evaluate the anterior segment of the eye.

Accurate use of this code is essential for proper claim submission and reimbursement for eye care services. It ensures that providers are fairly compensated for the time and resources expended in providing comprehensive eye examinations. Historically, standardized coding systems have evolved to provide a uniform language for describing medical procedures and services, facilitating communication between healthcare providers, insurers, and patients. This, in turn, promotes transparency and accuracy in healthcare billing.

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CPT code 92012 designates a comprehensive eye examination, including a determination of the refractive state, and an evaluation of the ocular adnexa. The service encompasses a thorough assessment of the visual system. As an example, this examination would include checking visual acuity, assessing eye movements, examining the external eye structures, and performing a dilated fundus examination to evaluate the retina and optic nerve.

Accurate assignment of this procedural code is crucial for appropriate reimbursement and claims processing within the healthcare system. It provides a standardized method for billing and tracking ophthalmological services. Its consistent application ensures financial transparency and allows for the collection of data to monitor trends in eye care service utilization. The code’s existence facilitates communication between healthcare providers and insurance companies, enabling efficient management of patient care and related expenses.

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