Cpt code list


CPT CODE DESCRIPTION OF SERVICES



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CPT CODE

DESCRIPTION OF SERVICES

FEE




RETINA OR CHOROID - REPAIR




67120

REMOVAL OF IMPLANTED MATERIAL, EXTRAOCULAR

397.11










67121

REMOVAL OF IMPLANTED MATERIAL, INTRAOCULAR

558.07













PROPHYLAXIS




67141

PROPHYLAXIS RETINAL DETACHMENT DIATHERMY/CRYOTHERAP

316.06










67145

PROPHYSAXIS PHOTOCOAGULATION LASER

318.93













DESTRUCTION




67208

DESTRUCTION OF LOCALIZED LESION OF RETINA – 1 SESSION

366.53










67210

PHOTOCOAGULATION, LASER OR SENON ARC – FOCAL LASER

429.38










67218

RADIATION BY IMPLANTATION OF SOURCE (INC. REMOVAL)

873.99










67220

DESTRUCTION OF LOCALIZED LESION OF CHOROID

658.91













DESTRUCTION




67221

PHOTODYNAMIC THERAPY (INCLUDES INTRAVENOUS INFUSION)

184.95










67225


PHTODYNAMIC THERAPY, (SECOND EYE) LIST SEPERATELY IN ADDITION TO PRIMARY CODE (USE IN CONJUNCTION WITH 67221)

19.34











67227

DESTRUCTION, EXTENSIVE/PROGRESSIVE RETINOPATHY

372.58










67228

PHOTOCOAGULATION – PAN RETINAL (SAME EYE – 6 MONTHS)

732.72













POSTERIOR SCLERA - REPAIR




67250

SCLERAL REINFORCEMENT; WITHOUT GRAFT

482.55










67255

SCLERAL REINFORCEMENT; WITH GRAFT

515.89




ORBIT – EXPLORATION, EXCISION, DECOMPRESSION




67400


ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNTIVAL APPROACH); FOR EXPLORATION, WITH OR WITHOUT BIOPSY

573.32


CPT CODE

DESCRIPTION OF SERVICES

FEE




ORBIT – EXPLORATION, EXCISION, DECOMPRESSION













67405

ORBITOTOMY WITH DRAINAGE ONLY

487.33










67412

ORBITOTOMY WITH REMOVAL OF LESION

530.95










67413

ORBITOTOMY W/REMOVAL OF FOREIGN BODY

530.99










67414

ORBITOTOMY WITH REMOVAL OF BONE FOR DECOMPRESSION

819.03










67415

FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS

68.23










67420

ORBITOTOMY W/BONE FLAP/WINDOW LATERIAL APP W/LESION

1,018.21










67430

OBITOTOMY WITH REMOVAL OF FOREIGN BODY

770.71










67440

ORBITOTOMY WITH DRAINAGE

748.86










67445

ORBITOTOMY WITH REMOVAL OF BONE FOR DECOMPRESSION

877.80










67450

ORBITOTOMY FOR EXPLORATION, WITH OR WITHOUT BIOPSY

772.08













ORBIT – OTHER PROCEDURES



67500


RETROBULBAR INJECTION; MEDICATION (SEPARATE PROCEDURE, DOES NOT INCLUDE SUPPLY OF MEDICATION)

57.20











67505

RETROBUBAR INJECTIONS; ALCOHOL

55.47










67515

INJECTION OF THERAPEUTIC ANGENT INTO TENON CAPSULE

59.13










67550

ORBITAL IMPLANT (OUTSIDE MUSCLE CONE); INSERTION

597.17










67560

REMOVAL OF REVISION

908.98










67570

OPTIC NERVE DECOMPRESSION (INCISION/FENESTRATION

716.17













EYELIDS – EXCISION, DESTRUCTION




67800

EXCISION OF CHALAZION; SINGLE

77.70










67801

EXCISION OF CHALAZION; MULTIPLE, SAME LID

99.92

CPT CODE

DESCRIPTION OF SERVICES

FEE




EYELIDS – EXCISION, DESTRUCTION




67700

BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID

160.23










67710

SEVERING OF TARSORRHPHY

134.89










67715

CANTHOTOMY (SEPARATE PROCEDURE)

142.43










67805

EXCISION OF CHALAZION; MULTIPLE, DIFFERENCE LIDS

123.53










67808

EXCISION, GEN ANESTHESIA, REQD HOSP SINGLE/MULTI

223.20










67810

BIOPSY EYELID

138.47










67820

CORRECTION OF TRICHIASIS; EPILATION BY FORCEPS

32.96










67825

EPILATION, BY ELECTROSURGERY OR CRYOTHERPHY

78.75










67830

INCISION OF LID MARGIN FOR TRICHIASIS

161.28










67835

INCISION OF LID MARGIN, WITH MUCOUS MEMBRANE GRAFT

271.70










67840

EXCISION OF LESION EYELID (EXCEPT CHALZAION)

169.31










67850

DESTRUCTION OF LESIONOFLID MARGIN (UP TO 1 CM)

136.41













TARSORRHAPHY




67875

TEMPORARY CLOSURE OF EYELIDS BY SUTURE (FROST)

105.89










67880

CONSTRUCTION, INTERMARGINAL ADHESIONS, MEDIAN

276.21










67882

WITH TRANSPOSITION OF TRASAL PLATE

341.59




REPAIR (BROW PTOSIS, BLEPHAROPTOSIS, LID RETRACTION)




67900

REPAIR OF BROW PTOSIS

394.32










67901

REPAIR OF BLEPHAROPTOSIS; FRONTAL MUSCLE TECHNIQUE

425.92










67902

REPAIR; FRONTAL MUSCLE TECHNIQUE W/FASCIAL SLING

442.46




























CPT CODE

DESCRIPTION OF SERVICES

FEE




REPAIR (BROW PTOSIS, BLEPHAROPTOSIS, LID RETRACTION)












67904


(TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROCAH

589.37














CONJUNCTIVA – INCISION AND DRAINAGE




68020

INCISION OF CONJUNCTIVA, DRAINAGE OF CYST

73.24










68040

EXPRESSION CONJUNCTIVAL FOLLICLES F/TRACHOMA

40.98













EXCISION AND/OR DESTRUCTION




68100

BIOPSY OF CONJUNCTIVA

105.12










68110

EXISION OF LESION OF CONJUNCTIVA UP TO 1 CM

136.87










68115

EXCISION OF LESIONOF CONJUNCTIVA OVER 1 CM

189.78










68130

EXCISION OF LESION/CONJUNCTIVA W/ ADJACENT SCLERA

328.43










68135

DESTRUCTION OF LESION, CONJUNCTIVA

96.28




INJECTION




68200

SUBCONJUCTIVAL INJECTIONS

13.14













CONJUNCTIVOPLASTY




68320

CONJUNCTIVOPLASTY W/GRAFT OR REARRANGEMENT

434.59










68325

CONJUNCTIVOPLASTY W/BUCCAL MUCOUS MEMBRANE GRAFT

404.77










68326

CONJUNCTIVOPLASTY/ RECONSTRUCTION CUL-DE-SAC W/G-R

394.42










68330

REPAIR SYMBLEMPHARON, CONJUNCTIOPLASTY, NO GRAFT

365.55










68335

REPAIR SYBLEPHARON; W/FREE GRAFT CONJ/BUCCAL MUCO

395.67









68340


DIVISION OF SYMBLEPHARON, WITH OR WITHOUT INSERTION OF CONFORMER OF CONTACT LENS

328.68





























CPT CODE

DESCRIPTION OF SERVICES

FEE




OTHER PROCEDURES




68360

CONJUNCTIVAL FLAP; BRIDGE OR PARTIAL

321.17










68362

CONJUNCTIVAL FLAP; TOTAL

401.17













LACRIMAL SYSTEM - INCISION




68400

INCISION DRAINAGE LACRIMAL GLAND

169.95










68420

INCISION, DRAINAGE LACRIMAL SAC

195.59










68440

SNIP INCISION OF LACRIMAL PUNCTUM

65.10










68500

EXCISION, LACRIMAL BLAND; TOTAL EXCEPT FOR TUMOR

597.60













LACRIMAL SYSTEM - INCISION




68505

EXCISION, LACRIMAL GLAND; PARTICAL EXCEPT FOR TUMOR

600.95










68510

BIOPSY OF LACRIMAL GLAND

280.63










68520

EXCISION OF LACRIMAL SAC

422.64










68525

BIOPSY OF LACRIMAL SAC

172.72










68530

REMOVAL FOREIGN BOYD OF DACRYOLITH, LACRIMAL PATH

266.07










68540

EXCISION OF LACRIMAL GLAND TUMOR, FRONTAL APPROCAH

571.53










68550

EXCISION OF LACRIMAL GLAND TUMOR, W/OSTEOTOMY

702.33













LACRIMAL SYSTEM -REPAIR




68700

PLASTIC REPAIR OF CANALICULI

368.89










68705

CORRECTION OF EVERTED PUNCTUM CAUTERY

145.15










68720

DACRYOCYSTORHINOSTOMY (FISTULIZATION LACRIMAL SAC)

268.24










68745

CONJUNCTIVORHINOSTOMY (FIST CONJUNCTIVAL) W/O TUBE

469.54










68750

CONJUNCTIVORHINOSTOMY (FIST CONJUNCTIVA) W/TUBE

482.88



















CPT CODE

DESCRIPTION OF SERVICES

FEE




LACRIMAL SYSTEM -REPAIR




68760

CLOSURE OF LACRIMAL PUNCTUM

123.00










68761

CLOSURE OF LACRIMAL PUNCTUM BY PLUG

89.79










68770

CLOSURE OF LACRIMAL FISTULA (SEPARATE PROCEDURE)

365.79










68840

PROBING OF LACRIMAL CANALICULI, W-W/O IRRIGATION

75.99










68850

INJECTION CONTRAST MEDIUM F/DARCRYOCYSTOPRAPHY

42.88













DIAGNOSTIC ULTRASOUND - SCANS




76510

26


OPHTHALMIC ULTRASOUND, DIAGNOSTIC; B-SCAN AND QUANTITATIVE A-SCAN PERFORMED DURING THE SAME PATIENT ENCOUNTER

INTREPRETATION



106.80

60.04











76511

26


QUANTITATIVE A-SCAN ONLY

INTREPRETATION



69.24

36.25











76512

26


B-SCAN (W-W/O SUPERIMPOSED NON-QUANTITATIVE A-SCAN)

INTREPRETATION



64.90

36.38











76513
26

ANTERIOR SEGMENT ULTRASOUND, IMMERSION (WATER BATH) B-SCAN OR HIGHER RESOLUTION BIOMICROSCOPY0

INTREPRETATION



59.33
24.94










76514

26


CORNEAL PACHYMETRY, UNILATERIAL OR BILATERAL

INTREPRETATION



9.11

6.69











76516

26


OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCAN

INTREPRETATION



47.57

20.67











76519

26


OPTHALMIC BIOMETRY ULTRASD E’GRAPHY A-SCAN W/ LENS

INTREPRETATION



50.86

20.93














OPHTHALMOLOGY – NEW PATIENT




92002

INTERMEDIATE EYE EXAM – NEW PATIENT

49.48










92004

COMPREHENSIVE EYE EXAM – NEW PATIENT

93.50

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











92132

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




SPECIAL OPHTHALMOLOGICAL SERVICES




92140

PROVOCATIVE TESTS FOR GLAUCOMA, WITH INTREPRETATION AND REPORT, WITHOUT TONOGRAPHY

37.89














OPHTHALMOSCOPY




92225

OPHTHALMOSCOPY, EXTENDED W/RETINAL DRAWING

16.93










92226

OPHTHALMOSCOPY - SUBSEQUENT

15.70










92227

REMOTE IMAGING FOR DETECTION OF RETINAL DISEASE

6.79

92228


REMOTE IMAGING FOR MONITORING AND MANAGEMENT OF ACTIVE RETINAL DISEASE

17.79











92230

FLRORESCEIN ANGIOSCOPY W/INTERPRETATION AND REPORT

40.07










92235

26


FLUROESCEIN ANGIOGRAPHY

INTREPRETATION



83.69

31.45











92250

26


FUNDUS PHOTO

INTREPRETATION



47.03

16.58











92285

26


EXTERNAL OCULAR PHOTOGRAPHY

INTERPRETATION



27.28

7.79











92286

26


ANTERIOR SEGMENT IMAGING

INTERPRETATION



78.20

25.19














CONTACT LENS FITTING



92071


FITTING OF CONTACT LENS FOR TREATMENT OF OCULAR SURFACE DISEASE

19.80










92072


INITIAL FITTING OF CONTACT LENS – FOR MANAGEMENT OF KERATOCONUS; INITIAL FITTING

87.00










92310


PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF AND FITTING OF CONTACT LENS

69.27











92311

CORNEAL LENS FOR APHAKIA, 1 EYE

62.62










92312

CORNEAL LENS FOR APHAKIA, BOTH EYES

72.25










CPT CODE

DESCRIPTION OF SERVICE

FEE




CONTACT LENS FITTING




92313

CORNEOSCLERAL LENS

60.03













FITTING FOR GLASSES




92340

FITTING, SPECTACLES EXCEPT FOR APHAKIA, MONOFOCAL

26.53













CONTACT LENS SERVICES







(for treatment of eye disease only)







LENS SOFT – ONE EYE

125.00













LENS HARD – ONE EYE

150.00




OFFICE VISIT - MEDICAL




99201

INITIAL OFFICE VISIT – EXAM

26.80










99202

INITIAL OFFICE VISIT - EXAM

46.53










99203

INITIAL OFFICE VISIT - EXAM

67.37










99204

LEVEL IV MEDICAL EXAM; NEW PATIENT

104.69










99205

GENERAL MEDICAL – HEMOGLOBIN & URINALYSIS

132.41













OFFICE VISIT – ESTABLISHED PATIENT




99211

LEVEL I FOLLOW UP; ESTABLISHED PATIENT

13.52










99212

LEVEL II FOLLOWUP; ESTABLSHED PATIENT

27.05










99213

LEVEL III FOLLOWUP; ESTABLISHED PATIENT

45.37










99214

LEVEL V FOLLOWUP; ESTABLSIHED PATIENT

68.36










99215

LEVEL V FOLLOWUP; ESTABLISHED PATIENT

92.44




INITIAL CONSULTATION




99241

INITIAL OFFICE CONSULTATION

35.45










99242

INITIAL OFFICE CONSULTATION

66.48










99243

INITIAL OFFICE CONSULTATION

91.48










99244

INITIAL OFFICE CONSULTATION

136.16

CPT CODE

DESCRIPTION OF SERVICE

FEE




AUDIOLOGICAL EVALUATION













99245

INITIAL OFFICE CONSULTATION

167.31










92550

TYMPANOMETRY AND RELFEX THRESHOLD MEASUREMENTS

12.70










92551

SCREENING TEST, PURE TONE, AIR ONLY

7.77










92552

PURE TONE AUDIOMETRY (THRESHOLD) AIR ONLY

14.52










92553

AIR AND BONE

19.69










92555

SPEECH AUDIOMETRY THRESHOLD

10.69










92557

COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION

31.89










92592

HEARING AID CHECK, MONAURAL

17.91













HEARING AIDS – CONSULT JERRY FRANCIS
















ANESTHESIA







ANESTHEISA – ESTIMATION ONLY

(once invoice has been received actual amount will be calculated)


150.00














CORNEA TISSUE




V2785

CORNEA TISSUE

2,880.00













INJECTION




J9035

AVASTIN USE IN CONJUNCTION WITH 67028

64.62




































































































CPT CODE

DESCRIPTION OF SERVICE

FEE




ASSESSMENT SERVICES







PSYCHIATRIC SERVICES




90791

PSYCHIATRIC DIAGNOSTIC EVALUATION

115.38










90792

PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES

115.38









90832


PSYCHOTHERAPHY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER

33.87










90833


PSYSCHOTHERAPHY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER WHEN PERFORMED WITH AN EVALUATION AND MANAGEMENT SERVICE (LIST SEPERATELY IN ADDITION TO THE CODE OF PRIMARY PROCEDURE)

22.60










90834


PSYCHOTHERAPHY, 45 MINTUES WITH PATIENT AND/OR FAMILY MEMBER

43.95










90836


PSYCHOTHERAPHY, 45 MINUTES WITH PATIENT AND/OR FAMILY MEMBER WHEN PERFORMED WITH AN EVALUATION AND MANAGEMENT OF SERVICE (LIST SEPERATELY IN ADDITION TO THE CODE FOR PRIMARY PROCEDURE)

36.73










90837


PSYCHOTHERAPHY, 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER

64.37










90838


PSYCHOTHERAPHY, 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER WHEN PERFORMED WITH AN EVALUATION AND MANAGEMENT SERVICE (LIST SEPERATELY IN ADDITION TO THE CODE FOR PRIMARY PROCEDURE)

59.13











96101

PHYCHOLOGICAL TESTING – PER HOUR

63.91














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