Eye Code Definitions and Requirements

Comprehensive
- 92004- new comprehensive eye visit
  - Definition: Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, one or more visits.
- 92014- return comprehensive eye visit
  - Definition: Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, one or more visits.
- Requires initiate or continuing a diagnostic and/or treatment plan
- Requires all 12 elements of the eye exam (see checklist below)
- Dilation as medically necessary. If not dilated, document reason.
Intermediate
- 92002- new intermediate eye visit
- 92012- return intermediate eye visit
- Must perform at least 3 eye exam elements

Comprehensive Code Checklist 92004 and 92014

Section	Required Element
History	Chief Complaint
	History of Illness
	General Medical Observation
Examination	Visual Acuity
	Visual Fields (gross or confrontation)
	Extraocular motility
	Intraocular Pressure
	Ocular Adnexa
	Conjunctiva
	Cornea
	Anterior Chamber
	Pupil and Iris
	Lens
	Optic Nerve
	Retina and vessels
Initiation of Diagnostic and Treatment Program (use one of many possible actions)	Prescription of medication, glasses, contact lenses
	Arranging for diagnostic or treatment services
	Order Consultation
	Order Labs
	Order Radiology testing
	Schedule or perform surgery
	Scheduling necessary follow-up