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CPT CODE LIST CPT CODE LIST – 2014- 2015CPT CODEDESCRIPTION OF SERVICEFEEEYEBALL – REMOVAL OF EYE65091EVISCERATION OF EYE, WITHOUT IMPLANT389.6365093EVISCERATION OF EYE WITH IMPLANT388.8465101ENUCLEATION WITHOUT IMPLANT448.9165103ENUCLEATION W/IMPLANT, MUSCLES NOT ATTACHED469.1965105ENUCLEATION W/IMPLANT, MUSCLES ATTACHED TO IMPLANT517.9965110EXENTERATION OF ORBIT W/O SKIN GRAFT REM ORBIT CONTENT757.2065112EXENTERATION, W/THERAPEUTIC REMOVALOF BONE 890.1565114EXENTERATION, WITH MUSCLE OR MYOCUTANEOUS FLAP927.92SECONDARY IMPLANT(S) PROCEDURES65125MODIFICATION, OCULAR IMPLANT (SEPARATE PROCEDURE)275.3665130EVISCERATION, EYE IMPLANTATION IN SCLERAL SHELL444.6365135AFTER ENUCLEATION, MUSCLES NOT ATTAHCED TO IMPLANT452.8865140AFTER ENUCLEATION, MUSCLES ATTACHED TO IMPLANT493.5565150REINSERTION/OCULAR IMPLANT W/WO CONJUNCTIVAL GRAFT356.7865155WITH USE OF FOREIGN MATERIAL FOR REINFORCEMENT AND/OR ATTACHMENT OF MUSCLES TO IMPLANT520.7165175REMOVAL OCULAR IMPLANT400.19REMOVAL OF FOREIGN BODY65205REMOVAL FOREING BODY EXTERNAL EYE CONJUNCTIVA35.39CPTDESCRIPTION OF SERVICESFEEREMOVAL OF FOREIGN BODY65210REMOVAL EMBEDDED CONJUNCTIVAL/SCLERAL NONPERFORATING43.2565220REMOVAL, CORNEAL WITHOUT SLIT SLAMP36.1565222REMOVAL, CORNEAL WITH SLIT LAMP47.5665235REMOVAL, INTRAOCULAR, ANTERIOR CHAMBER OR LENS429.0365260REMOVAL, POSTERIOR SEGMENT MAGNETIC EXTRACTION588.6565265REMOVAL, POSTERIOR SEGMENT NONMAGNETIC EXTRACTION663.29REPAIR OF LACERATION65270REPAIR LACERATION CONJUNCTIVA W-W/O DIRECT CLOSURE161.6865272REPAIR CONJUNCTIVA MOBILE & REARRANGE W/O HOSPITAL300.4865273REPAIR CONJUNCTIVA MOBILE & RERRANGE W/HOSPITAL234.2365275REPAIR CORNEA NONPERFORATING W-W/O REM FORGN BODY339.3765280CORNEA AND/OR SCLERA, PEFORATING, NOT INVOLVING UVEAL TISSUE411.0465285CORNEA/SCLERA, PERFORATING W/REPOSITION OR RESECTION OF UVEAL TISSUE642.3565286APPLICATION, TISSUE GLUE, WOUNDS CORNEA/SCLERA425.4465290REPAIR WOUND, EXTRAOCULAR MUSCLE TENDON - CAPSULE301.30CORNEA- Excision65400EXCISION LESION, CORNEA EXCEPT PTERYGIUM407.3465410BIOPSY, CORNEA 88.3765420EXCISION OR TRANSPOSITION OF PTERYGIUM WITHOUT GRAFT311.02CPT CODEDESCRIPTION OF SERVICEFEECORNEA- REMOVAL OR DESTRUCTION65426EXCISION OR TRANSPOSITION OF PTERYGIUM WITH GRAFT393.7465430SCRAPING CORNEA, DIAGNOSTIC, FOR SMEAR/CULTURE 72.0665435REMOVAL CORNEAL EPITHELIUM W-W/O CHEMOCAUTHERIZATIO 49.5865436REMOVAL WITH APPLICATION CHELATING AGENT (EDTA)236.0965450DESTRUCTION LESION CORNEA (CRYTO/PHOTO/THERMO)194.1265600MULTIPLE PUNCTURES OF ANTERIOR CORNEAKERATOPLASTY (Corneal Transplant)65710KERATOPLASTY (CORNEAL TRANSPLANT), ANTERIOR LAMELLAR677.7765730KERATOPLASTY, PENETRATING (EXCEPT APHAKIA OR PSEUDO) 754.5365750KERATOPLASTY PENETRATING (IN APHAKIA)765.8165755KERATOPLASTY, PENETRATING (IN PSEUDOPHAKIA)761.3265756KERTOPLASTY ENDOTHELIAL734.3265757BACKBENCH PREPARATION OF CORNEAL ENDOTHELIAL ALLOGRAFT PRIOR TO TRANSPLANTATION (USE IN CONJUCTION WITH 65756)M65760KERATOMILEUSIS873.9765765KERATOPHAKIA873.9765767EPIKERATOPLASTY873.9765770KERATOPROSTHESIS876.3165772CORNEAL RELAXING INCISION SURGICALLY INDUCED ASTIGMATISM272.6665775CORNEAL WEDGE RESECTION CORRECTION SURG. ASTIIGMATISM336.34CPT CODEDESCRIPTION OF SERVICEFEEANTERIOR CHAMBER - INCISION65800PARACENTESIS, ANTERIOR CHAMBER W/DIAGNOSTIC ASP 94.1165810PARACENTESIS W/REMOVAL OF VITREOUS AND/OR DISCISSION HYALOID MEMBRANE, WITH/WO AIR INJECTION285.1165815PARACENTESIS, W/REML BLOOD W-W/O IRRIGATION/AIR 385.3765820GONIOTOMY458.0665850TRABECULTOMY AB EXTERNO523.5765855LASER TRABECULOPLASTY; ONE OR MORE SESSIONS208.4465860SEVERING ADHESIONS OF ANTERIOR SEGMENT, LASER 192.3865865SEVERING ADESIONS OF ANTERIOR SEGMENT OF EYE291.5565870ANTERIOR SYNCHEIAE360.3365875POSTERIOR SYNECHIAE383.0065880SEVERING CORNEOVITREAL ADHESIONS (BR)403.95ANTERIOR CHAMBER - REMOVAL65900REMOVAL OF EPITHELIAL DOWNGROWTH, ANTERIOR CHAMBER OF EYE593.2965920REMOVAL OF IMPLANTED MARTERIAL, ANTERIOR CHAMBER479.7465930REMOVAL OF BLOOD CLOT, ANTERIOR SEGMENT395.2366020INJECTION, ANTERIOR CHAMBER, AIR/LIQUID, SEP PROC 113.0866030INJECTION, ANTERIOR CHAMBER, MEDICATION 99.69ANTERIOR SCLERA - EXCISION66130EXCISION OF LESION, SCLERA431.7666150FISTUIZATION OF SCLERA FOR GLAUCOMA; TREPHINATION WITH IRIDECTOMY526.38CPT CODEDESCRIPTION OF SERVICESFEEANTERIOR SCLERA - EXCISION66155THERMOCAUTERIZATION WITH IRIDECTOMY 524.9665160SCLERECTOMY WITH PUNCH OR SCISSORS, WITH IRIDECTOMY598.3366165IRIDENCLEISIS OR IRIDOTASIS514.1666170TRABECLECTOMY AB EXTERNO IN ABSENCE OF PREVIOUS SURGERY724.5366172TRABECULECTOMY (INCLUED INJECTION OF ANTIFIBROTIC AGNT) 910.3865174TRANSLUMINAL DILATION OF AQUEOUS OUTFLOW CANAL; WITHOUT RETENTION OF DEVICE OR STENT570.8265175WITH RETENTION OF DEVICE OR STENT623.72AQUEOUS SHUNT66180AQUEOUS SHUNT TO EXTRAOCULAR RESERVIOR (MOLTENO)723.6366183INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVIOR, EXTERNAL APPROACH592.4366185REVISION OF AQUEOUS SHUNT – EXTRAOCULAR RESERVIOR455.39REPAIR OR REVISION66220REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT444.4766225REPAIR OF SCLERAL STAPHYLOMA; WITH GRAFT573.6066250REVISION, REPAIR OPERATIVE WOUND OF ANTERIOR SEGMENT452.81IRIS, CILIARY BODY66500IRIDOTOMY BY STAB INCISION, EXCEPT TRANSFIXION214.5566505IRIDOTOMY WITH TRANSFIXION AS FOR IRIS BOMBE234.92EXCISION66600IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; FOR REMOVAL OF LESION500.0166605IRIDECTOMY; WITH CYCLECTOMY651.48CPT CODEDESCRIPTION OF SERVICESFEEEXCISION66625IRIDECTOMY; PERIPHERAL FOR GLAUCOMA262.6966630IRIDECTOMY; SECTOR FOR GLAUCOMA346.3666635IRIDECTOMY; “OPTICAL”349.91REPAIR66680REPAIR OF IRIS, CILIARY BODY (IRIDODIALYSIS)312.7466682SUTURE OF IRIS CILIARY BODY (SEPERATE PROCEDURE)379.84DESTRUCTION66700CILIARY BODY DESTRUCTION; DIATHERMY273.3066710CYCLOPHOTOCOAGULATION; TRANSSCLERAL268.8566711CYCOLPHOTOCOAGULATION, ENDOSCOPIC386.5666720CILIARY BODY DESTRUCTION; CRYOTHERAPY280.9366740CILIARY BODY DESTRUCTION; CYCLODIALYSIS267.0366761IRIDOTOMY/IRIDECTOMY BY LASER SURGERY (FOR GLAUCOMA PER SESSION)273.5866762IRIDOPLASTY, PHOTOCOAGULATION (1 OR MORE SESSIONS) 286.9466770DESTRUCTION OF CYST OR LESION IRIS OR CILIARY BODY319.07LENS – INCISION66820DISCUSSION – SECONDARY MEMBRANOUS CATARACT (KNIFE)240.3866821LASER SURGRY (YAG LASER) (1 OR MORE STAGES)195.7166825REPOSITIONING OF INTRAOCULAR LENS PROTHESIS, REQUIRING AN INCISION (SEPARATE PROCEDURE)464.44CPT CODEDESCRIPTION OF SERVICESFEELENS - REMOVAL66830REMOVAL SECONDARY MEMBRANOUS CATARACT437.0966840REMOVAL OF LENS; ASPIRATION (ONE OR MORE SESSIONS)425.7466850REMOVALOF LENS; PHACOFRAGMENTATION, W/ASPIRATION486.1066852REMOVAL OF LENS; PARS PLANA W-W/P VITRECTOMY520.4966920REMOVAL OF LENS; INTRACAPSULAR464.3066930REMOVAL OF LENS; INTRACAPSULAR F/DISLOCATED LENS527.9066940REMOVAL OF LENS; EXTRACAPSULAR479.01INTRAOCULAR LEN PROCEDURES66982EXTRACAPULAR CATARACT EXTRACTION W/IOL 661.1166983INTRACAPSULAR CATARACT EXTRACTION W/IOL457.1766984EXTRACAPSULAR CATARACT EXTRACTION W/IOL473.7366985INSERTION OF I.O.L. , (SECONDARY IMPLANT) NOT ASSOCIATED WITH CONCURRENT CATARACT REMOVAL 467.6166986EXCHANGE OF INTRAOCULAR LENS572.3866990USE OF OPHTHALMIC ENDOSCOPE (LIST SEPARETLY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)59.16VITREOUS67005REMOVAL – VITREOUS, ANTERIOR APPROACH (SKY/LIMBAL)287.6667010REMOVAL – VITREOUS, SUBTOTAL/MECHANICAL VITRECTOMY333.5767015ASPIRATION OR RELEASE OF VITREOUS; PARS PLANA APPROACH355.1367025INJECTION, VITREOUS SUBSTITUTE, PARS PLANA/LIMBAL440.12CPT CODEDESCRIPTION OF SERVICESFEEVITREOUS67027IMPLANTATION OF INTRAVITREAL DRUG DELIVERY SYSTEM INCLUDES CONCOMITANT REMOVAL OF VITREOUS527.1267028INTRAVITREALM INJECTION OF PHARMACOLOGIC AGENT132.3067030DISCUSSION, VITREOUS STRANDS W/O REML PARS PLANA316.8467031SEVERING OF VITREOUS STRANDS234.2067036VITRECTOMY, MECHANICAL, PARS PLANA APPROACH595.9967039VITRECTOMY, WITH FOCAL ENDOLASER PHOTOCOAGULATION762.5967040VITRECTOMY; WITH ENDOLASER, PANRETINAL PHOTOCOAGULATI880.4367041VITRECTOMY; WITH REMOVAL OF PRERETINAL CELLULAR MEMB825.4067042VITRECTOMY; WITH REMOVAL OF INTERNAL LIMITING MEMBR 946.3167043VITRECTOMY; WITH REMOVAL OF SUBRETINAL MEMBRANE 992.28RETINA OR CHOROID - REPAIR67101REPAIR RETINAL DETACHMENT (ONE OR MORE SESSIONS)471.6367105PHOTOCOAGULATION W-W/O DRAINAGE SUBRETINAL437.3367107REPAIR OF RETINA DETACHMENT, SCLERAL BUCKLING749.2267108REPAIR, SCLERAL BUDKLING W/VITRECTOMY 999.0067110BY INJECTION OF AIR OR OTHER GAS (PNEUMATIC RETINOPEXY)529.0367112REPAIR BY SCLERAL BUCKLING OR VITRECTOMY, ON PATIENT HAVING HAD PREVIOUS DETACHMENT REPAIR824.0967113REPAIR OF COMPLEX RETINAL DETACHMENT1,086.2867115RELEASE ENCIRCLING MATERIAL (POSTERIOR SEGMENT)300.20CPT CODEDESCRIPTION OF SERVICESFEERETINA OR CHOROID - REPAIR67120REMOVAL OF IMPLANTED MATERIAL, EXTRAOCULAR397.1167121REMOVAL OF IMPLANTED MATERIAL, INTRAOCULAR558.07PROPHYLAXIS67141PROPHYLAXIS RETINAL DETACHMENT DIATHERMY/CRYOTHERAP316.0667145PROPHYSAXIS PHOTOCOAGULATION LASER318.93DESTRUCTION67208DESTRUCTION OF LOCALIZED LESION OF RETINA – 1 SESSION366.5367210PHOTOCOAGULATION, LASER OR SENON ARC – FOCAL LASER429.3867218RADIATION BY IMPLANTATION OF SOURCE (INC. REMOVAL)873.9967220DESTRUCTION OF LOCALIZED LESION OF CHOROID658.91DESTRUCTION67221PHOTODYNAMIC THERAPY (INCLUDES INTRAVENOUS INFUSION)184.9567225PHTODYNAMIC THERAPY, (SECOND EYE) LIST SEPERATELY IN ADDITION TO PRIMARY CODE (USE IN CONJUNCTION WITH 67221)19.3467227DESTRUCTION, EXTENSIVE/PROGRESSIVE RETINOPATHY372.5867228PHOTOCOAGULATION – PAN RETINAL (SAME EYE – 6 MONTHS)732.72POSTERIOR SCLERA - REPAIR67250SCLERAL REINFORCEMENT; WITHOUT GRAFT482.5567255SCLERAL REINFORCEMENT; WITH GRAFT515.89ORBIT – EXPLORATION, EXCISION, DECOMPRESSION67400ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNTIVAL APPROACH); FOR EXPLORATION, WITH OR WITHOUT BIOPSY573.32CPT CODEDESCRIPTION OF SERVICESFEEORBIT – EXPLORATION, EXCISION, DECOMPRESSION67405ORBITOTOMY WITH DRAINAGE ONLY487.3367412ORBITOTOMY WITH REMOVAL OF LESION530.9567413ORBITOTOMY W/REMOVAL OF FOREIGN BODY530.9967414ORBITOTOMY WITH REMOVAL OF BONE FOR DECOMPRESSION819.0367415FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS68.2367420ORBITOTOMY W/BONE FLAP/WINDOW LATERIAL APP W/LESION1,018.2167430OBITOTOMY WITH REMOVAL OF FOREIGN BODY770.7167440ORBITOTOMY WITH DRAINAGE748.8667445ORBITOTOMY WITH REMOVAL OF BONE FOR DECOMPRESSION877.8067450ORBITOTOMY FOR EXPLORATION, WITH OR WITHOUT BIOPSY772.08ORBIT – OTHER PROCEDURES67500RETROBULBAR INJECTION; MEDICATION (SEPARATE PROCEDURE, DOES NOT INCLUDE SUPPLY OF MEDICATION)57.2067505RETROBUBAR INJECTIONS; ALCOHOL55.4767515INJECTION OF THERAPEUTIC ANGENT INTO TENON CAPSULE59.1367550ORBITAL IMPLANT (OUTSIDE MUSCLE CONE); INSERTION597.1767560REMOVAL OF REVISION 908.9867570OPTIC NERVE DECOMPRESSION (INCISION/FENESTRATION716.17EYELIDS – EXCISION, DESTRUCTION67800EXCISION OF CHALAZION; SINGLE77.7067801EXCISION OF CHALAZION; MULTIPLE, SAME LID 99.92CPT CODEDESCRIPTION OF SERVICESFEEEYELIDS – EXCISION, DESTRUCTION67700BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID160.2367710SEVERING OF TARSORRHPHY134.8967715CANTHOTOMY (SEPARATE PROCEDURE)142.4367805EXCISION OF CHALAZION; MULTIPLE, DIFFERENCE LIDS123.5367808EXCISION, GEN ANESTHESIA, REQD HOSP SINGLE/MULTI223.2067810BIOPSY EYELID138.4767820CORRECTION OF TRICHIASIS; EPILATION BY FORCEPS32.9667825EPILATION, BY ELECTROSURGERY OR CRYOTHERPHY78.7567830INCISION OF LID MARGIN FOR TRICHIASIS161.2867835INCISION OF LID MARGIN, WITH MUCOUS MEMBRANE GRAFT271.7067840EXCISION OF LESION EYELID (EXCEPT CHALZAION)169.3167850DESTRUCTION OF LESIONOFLID MARGIN (UP TO 1 CM)136.41TARSORRHAPHY67875TEMPORARY CLOSURE OF EYELIDS BY SUTURE (FROST)105.8967880CONSTRUCTION, INTERMARGINAL ADHESIONS, MEDIAN276.2167882WITH TRANSPOSITION OF TRASAL PLATE341.59REPAIR (BROW PTOSIS, BLEPHAROPTOSIS, LID RETRACTION)67900REPAIR OF BROW PTOSIS394.3267901REPAIR OF BLEPHAROPTOSIS; FRONTAL MUSCLE TECHNIQUE425.9267902REPAIR; FRONTAL MUSCLE TECHNIQUE W/FASCIAL SLING442.46CPT CODEDESCRIPTION OF SERVICESFEEREPAIR (BROW PTOSIS, BLEPHAROPTOSIS, LID RETRACTION)67904(TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROCAH589.37CONJUNCTIVA – INCISION AND DRAINAGE68020INCISION OF CONJUNCTIVA, DRAINAGE OF CYST73.2468040EXPRESSION CONJUNCTIVAL FOLLICLES F/TRACHOMA40.98EXCISION AND/OR DESTRUCTION68100BIOPSY OF CONJUNCTIVA105.1268110EXISION OF LESION OF CONJUNCTIVA UP TO 1 CM136.8768115EXCISION OF LESIONOF CONJUNCTIVA OVER 1 CM189.7868130EXCISION OF LESION/CONJUNCTIVA W/ ADJACENT SCLERA328.4368135DESTRUCTION OF LESION, CONJUNCTIVA 96.28INJECTION68200SUBCONJUCTIVAL INJECTIONS 13.14CONJUNCTIVOPLASTY68320CONJUNCTIVOPLASTY W/GRAFT OR REARRANGEMENT434.5968325CONJUNCTIVOPLASTY W/BUCCAL MUCOUS MEMBRANE GRAFT404.7768326CONJUNCTIVOPLASTY/ RECONSTRUCTION CUL-DE-SAC W/G-R394.4268330REPAIR SYMBLEMPHARON, CONJUNCTIOPLASTY, NO GRAFT365.5568335REPAIR SYBLEPHARON; W/FREE GRAFT CONJ/BUCCAL MUCO395.6768340DIVISION OF SYMBLEPHARON, WITH OR WITHOUT INSERTION OF CONFORMER OF CONTACT LENS328.68CPT CODEDESCRIPTION OF SERVICESFEEOTHER PROCEDURES68360CONJUNCTIVAL FLAP; BRIDGE OR PARTIAL321.1768362CONJUNCTIVAL FLAP; TOTAL401.17LACRIMAL SYSTEM - INCISION68400INCISION DRAINAGE LACRIMAL GLAND169.9568420INCISION, DRAINAGE LACRIMAL SAC195.5968440SNIP INCISION OF LACRIMAL PUNCTUM65.1068500EXCISION, LACRIMAL BLAND; TOTAL EXCEPT FOR TUMOR597.60LACRIMAL SYSTEM - INCISION68505EXCISION, LACRIMAL GLAND; PARTICAL EXCEPT FOR TUMOR600.9568510BIOPSY OF LACRIMAL GLAND280.6368520EXCISION OF LACRIMAL SAC422.6468525BIOPSY OF LACRIMAL SAC172.7268530REMOVAL FOREIGN BOYD OF DACRYOLITH, LACRIMAL PATH266.0768540EXCISION OF LACRIMAL GLAND TUMOR, FRONTAL APPROCAH571.5368550EXCISION OF LACRIMAL GLAND TUMOR, W/OSTEOTOMY702.33LACRIMAL SYSTEM -REPAIR68700PLASTIC REPAIR OF CANALICULI368.8968705CORRECTION OF EVERTED PUNCTUM CAUTERY145.1568720DACRYOCYSTORHINOSTOMY (FISTULIZATION LACRIMAL SAC)268.2468745CONJUNCTIVORHINOSTOMY (FIST CONJUNCTIVAL) W/O TUBE469.5468750CONJUNCTIVORHINOSTOMY (FIST CONJUNCTIVA) W/TUBE482.88CPT CODEDESCRIPTION OF SERVICESFEELACRIMAL SYSTEM -REPAIR68760CLOSURE OF LACRIMAL PUNCTUM123.0068761CLOSURE OF LACRIMAL PUNCTUM BY PLUG89.7968770CLOSURE OF LACRIMAL FISTULA (SEPARATE PROCEDURE)365.7968840PROBING OF LACRIMAL CANALICULI, W-W/O IRRIGATION75.9968850INJECTION CONTRAST MEDIUM F/DARCRYOCYSTOPRAPHY42.88DIAGNOSTIC ULTRASOUND - SCANS7651026OPHTHALMIC ULTRASOUND, DIAGNOSTIC; B-SCAN AND QUANTITATIVE A-SCAN PERFORMED DURING THE SAME PATIENT ENCOUNTERINTREPRETATION106.8060.047651126QUANTITATIVE A-SCAN ONLYINTREPRETATION69.2436.257651226B-SCAN (W-W/O SUPERIMPOSED NON-QUANTITATIVE A-SCAN)INTREPRETATION64.9036.387651326ANTERIOR SEGMENT ULTRASOUND, IMMERSION (WATER BATH) B-SCAN OR HIGHER RESOLUTION BIOMICROSCOPY0INTREPRETATION59.3324.947651426CORNEAL PACHYMETRY, UNILATERIAL OR BILATERALINTREPRETATION9.116.697651626OPHTHALMIC BIOMETRY BY ULTRASOUND ECHOGRAPHY, A-SCANINTREPRETATION47.5720.677651926OPTHALMIC BIOMETRY ULTRASD E’GRAPHY A-SCAN W/ LENSINTREPRETATION50.8620.93OPHTHALMOLOGY – NEW PATIENT92002INTERMEDIATE EYE EXAM – NEW PATIENT49.4892004COMPREHENSIVE EYE EXAM – NEW PATIENT 93.50CPT CODEDESCRIPTION OF SERVICESFEELOW VISION EXAM92005LOW VISION EXAMINATION (SCCB CLINIC)95.00ESTABLISHED PATIENT92012INTERMEDIATE/RE-EXAM ESTABLISHED PATIENT52.1392014DILATED/INTERMEDIATE EXAM ESTABLISHED PATIENT76.26SPECIAL OPHTHALMOLOGICAL SERVICES92015DETERMINATION OF REFRACTIVE STATE24.6592020GONIOSCOPY, NOT PART OF COMPLETE EYE EXAM17.679202526COMPUTERIZED CORNEAL TOPOGRAPHY, UNILATERAL OR BILATERAL, INTERPRETATION AND REPORT22.5913.289208126VISUAL FIELDS EXAMINATION, UNILATERAL OR BILATERIALINTREPRETATION34.5913.569208226HUMPHREY VISUAL FIELDS EXAMINATION, INTERMEDIATEINTREPRETATION45.7616.589208326GOLDMANN VISUAL FIELDS EXTENDED EXAM INTREPRETATION52.2919.0392100SERIAL TONOMETRY (SEPARATE PROCEDURE) WITH MULTIPLE MEASUREMENTS OF INTRAOCULAR PRESSURE59.019213226SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGINGINTERPRETATION21.4712.459213326SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC (OCT)INTREPRETATION26.4117.389213426SCANNING COMPUTERIZED OPHTHALMIC (OCT)INTREPRETATION26.4117.389213626OPHTHALMIC BIOMETRY BY PARTIAL COHERENCE INTERFEROMETRY WITH IOL POWER CALCULATIONINTREPRETATION53.9120.93CPT CODEDESCRIPTION OF SERVICESFEESPECIAL OPHTHALMOLOGICAL SERVICES92140PROVOCATIVE TESTS FOR GLAUCOMA, WITH INTREPRETATION AND REPORT, WITHOUT TONOGRAPHY37.89OPHTHALMOSCOPY92225OPHTHALMOSCOPY, EXTENDED W/RETINAL DRAWING16.9392226OPHTHALMOSCOPY - SUBSEQUENT15.7092227REMOTE IMAGING FOR DETECTION OF RETINAL DISEASE6.7992228REMOTE IMAGING FOR MONITORING AND MANAGEMENT OF ACTIVE RETINAL DISEASE17.7992230FLRORESCEIN ANGIOSCOPY W/INTERPRETATION AND REPORT40.079223526FLUROESCEIN ANGIOGRAPHY INTREPRETATION 83.6931.459225026FUNDUS PHOTO INTREPRETATION47.0316.589228526EXTERNAL OCULAR PHOTOGRAPHYINTERPRETATION27.287.799228626ANTERIOR SEGMENT IMAGING INTERPRETATION78.2025.19CONTACT LENS FITTING92071FITTING OF CONTACT LENS FOR TREATMENT OF OCULAR SURFACE DISEASE19.8092072INITIAL FITTING OF CONTACT LENS – FOR MANAGEMENT OF KERATOCONUS; INITIAL FITTING87.0092310PRESCRIPTION OF OPTICAL AND PHYSICAL CHARACTERISTICS OF AND FITTING OF CONTACT LENS69.2792311CORNEAL LENS FOR APHAKIA, 1 EYE62.6292312CORNEAL LENS FOR APHAKIA, BOTH EYES72.25CPT CODEDESCRIPTION OF SERVICEFEECONTACT LENS FITTING92313CORNEOSCLERAL LENS60.03FITTING FOR GLASSES92340FITTING, SPECTACLES EXCEPT FOR APHAKIA, MONOFOCAL26.53CONTACT LENS SERVICES(for treatment of eye disease only)LENS SOFT – ONE EYE 125.00LENS HARD – ONE EYE150.00OFFICE VISIT - MEDICAL99201INITIAL OFFICE VISIT – EXAM26.8099202INITIAL OFFICE VISIT - EXAM46.5399203INITIAL OFFICE VISIT - EXAM67.3799204LEVEL IV MEDICAL EXAM; NEW PATIENT104.6999205GENERAL MEDICAL – HEMOGLOBIN & URINALYSIS132.41OFFICE VISIT – ESTABLISHED PATIENT99211LEVEL I FOLLOW UP; ESTABLISHED PATIENT13.5299212LEVEL II FOLLOWUP; ESTABLSHED PATIENT27.0599213LEVEL III FOLLOWUP; ESTABLISHED PATIENT45.3799214LEVEL V FOLLOWUP; ESTABLSIHED PATIENT68.3699215LEVEL V FOLLOWUP; ESTABLISHED PATIENT 92.44INITIAL CONSULTATION99241INITIAL OFFICE CONSULTATION35.4599242INITIAL OFFICE CONSULTATION66.4899243INITIAL OFFICE CONSULTATION 91.4899244INITIAL OFFICE CONSULTATION136.16CPT CODEDESCRIPTION OF SERVICEFEEAUDIOLOGICAL EVALUATION99245INITIAL OFFICE CONSULTATION167.3192550TYMPANOMETRY AND RELFEX THRESHOLD MEASUREMENTS12.7092551 SCREENING TEST, PURE TONE, AIR ONLY 7.7792552PURE TONE AUDIOMETRY (THRESHOLD) AIR ONLY14.5292553AIR AND BONE19.6992555SPEECH AUDIOMETRY THRESHOLD10.6992557COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION31.8992592HEARING AID CHECK, MONAURAL17.91HEARING AIDS – CONSULT JERRY FRANCISANESTHESIAANESTHEISA – ESTIMATION ONLY(once invoice has been received actual amount will be calculated)150.00CORNEA TISSUEV2785CORNEA TISSUE2,880.00INJECTIONJ9035AVASTIN USE IN CONJUNCTION WITH 6702864.62CPT CODEDESCRIPTION OF SERVICEFEEASSESSMENT SERVICESPSYCHIATRIC SERVICES90791PSYCHIATRIC DIAGNOSTIC EVALUATION115.3890792PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES115.3890832PSYCHOTHERAPHY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER33.8790833PSYSCHOTHERAPHY, 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)22.6090834PSYCHOTHERAPHY, 45 MINTUES WITH PATIENT AND/OR FAMILY MEMBER43.9590836PSYCHOTHERAPHY, 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)36.7390837PSYCHOTHERAPHY, 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER64.3790838PSYCHOTHERAPHY, 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)59.1396101PHYCHOLOGICAL TESTING – PER HOUR63.91MOST FREGUENTLY USED OUTPATIENT FACILITY FEES Outpatient Facility Fees65103Enucleation w/Implant muscle not attached to implant 1,585.7365105Enucleation of eye w/implant, muscleAttached to eye1,585.7365420Cornea, Excision or transposition of Pterygium; without graft822.2365710Keratoplasty (Cornea Transplant Lamellar) 2,936.5465730Keratoplasty; Penetrating (non-aphakia)2,936.5465755Keratoplasty; Penetrating (in pseudoaphakia)2,936.5465850Trabeculectomy1,339.0565855Trabeculoplasty Laser (one or more sessions) 822.2366170Trabeculectomy ab externo in absence of previous surgery1.339.0566172Trabeculectomy ab externo w/scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)1,339.0566174Transluminal dilation of aqueous outflow canal; without retention of device or stent1,339.0566175Transluminal dilation of aqueous outflow canal; with retention of device or stent1,339.05Outpatient Facility Fees66180Aqueous Shunt to extra ocular reservoir1,585.7366630Iridectomy; sector for Glaucoma1,585.7366821Yag Laser – one or more sessions1,339.0566982Extra capsular cataract removal975.0066984Cataract Extraction with Primary Insertion of Intraocular Lens 975.0066985Insertion of I.O.L., Subsequent of Extraction975.0067036Vitrectomy, mechanical, pars plana approach1,339.0567039Vitrectomy, W/ focal endolaser, PRP1,339.0567040Vitrectomy, with endolaser panretinalphotocoagulation 1,339.0567041Vitrectomy, with removal of pre-retinal cellular membrane 1,339.0567042Vitrectomy, with removal of internal limiting membrane 1,339.0567043Vitrectomy, with removal of sub-retinal membrane 1,339.0567107Repair of retinal detachment – sclera bucking w/without implant 1,339.05Outpatient Facility Fees67108Repair retinal detachment with vitrectomy – any method1,339.0567110Repair of retinal detachment by injection of air or other gas 1,339.0567112Repair of retinal detachment by sclera buckling or vitrectomy 1,339.0567113Repair of complex retinal detachment 1,339.0567228“For Use of Laser Machine “Only use when a PRP laser is done in a hospital or outpatient facility NOT when it is done in the doctor’s office 125.00 ................
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