View
213
Download
0
Category
Preview:
Citation preview
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 1/25
CPT CODE LIST
CPT CODE LIST – 2014- 2015
CPTCODE
DESCRIPTION OF SERVICE FEE
EYEBALL – REMOVAL OF EYE65091 EVISCERATION OF EYE, WITHOUT IMPLANT 389.63
65093 EVISCERATION OF EYE WITH IMPLANT 388.84
65101 ENUCLEATION WITHOUT IMPLANT 448.91
65103 ENUCLEATION W/IMPLANT, MUSCLES NOT
ATTACHED
469.19
65105 ENUCLEATION W/IMPLANT, MUSCLES ATTACHED TOIMPLANT
51.99
65110 E!ENTERATION OF OR"IT W/O S#IN $RAFT REMOR"IT CONTENT
5.%0
6511% E!ENTERATION, W/THERAPEUTIC REMOVALOF"ONE
890.15
65114 E!ENTERATION, WITH MUSCLE OR MYOCUTANEOUSFLAP
9%.9%
SECONDARY IMPLANT(S) PROCEDURES
651%5 MODIFICATION, OCULAR IMPLANT &SEPARATEPROCEDURE'
%5.36
65130 EVISCERATION, EYE IMPLANTATION IN SCLERALSHELL
444.63
65135 AFTER ENUCLEATION, MUSCLES NOT ATTAHCED TOIMPLANT
45%.88
65140 AFTER ENUCLEATION, MUSCLES ATTACHED TOIMPLANT
493.55
65150 REINSERTION/OCULAR IMPLANT W/WO 356.8
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 2/25
CON(UNCTIVAL $RAFT
65155WITH USE OF FOREI$N MATERIAL FORREINFORCEMENT AND/OR ATTACHMENT OFMUSCLES TO IMPLANT
5%0.1
6515 REMOVAL OCULAR IMPLANT 400.19
REMOVAL OF FOREIGN BODY 65%05 REMOVAL FOREIN$ "ODY E!TERNAL EYE
CON(UNCTIVA35.39
CPT DESCRIPTION OF SERVICES FEE
REMOVAL OF FOREIGN BODY
65%10REMOVAL EM"EDDED CON(UNCTIVAL/SCLERALNONPERFORATIN$ 43.%5
65%%0 REMOVAL, CORNEAL WITHOUT SLIT SLAMP 36.15
65%%% REMOVAL, CORNEAL WITH SLIT LAMP 4.56
65%35 REMOVAL, INTRAOCULAR, ANTERIOR CHAM"ER ORLENS
4%9.03
65%60 REMOVAL, POSTERIOR SE$MENT MA$NETICE!TRACTION
588.65
65%65 REMOVAL, POSTERIOR SE$MENT NONMA$NETICE!TRACTION
663.%9
REPAIR OF LACERATION
65%0 REPAIR LACERATION CON(UNCTIVA W)W/O DIRECTCLOSURE
161.68
65%% REPAIR CON(UNCTIVA MO"ILE * REARRAN$E W/OHOSPITAL
300.48
65%3 REPAIR CON(UNCTIVA MO"ILE * RERRAN$EW/HOSPITAL
%34.%3
65%5 REPAIR CORNEA NONPERFORATIN$ W)W/O REMFOR$N "ODY
339.3
65%80 CORNEA AND/OR SCLERA, PEFORATIN$, NOTINVOLVIN$ UVEAL TISSUE 411.04
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 3/25
65%85 CORNEA/SCLERA, PERFORATIN$ W/REPOSITION ORRESECTION OF UVEAL TISSUE 64%.35
65%86 APPLICATION, TISSUE $LUE, WOUNDS
CORNEA/SCLERA
4%5.44
65%90 REPAIR WOUND, E!TRAOCULAR MUSCLE TENDON )CAPSULE
301.30
CORNEA- Exc!"#65400 E!CISION LESION, CORNEA E!CEPT PTERY$IUM 40.34
65410 "IOPSY, CORNEA 88.3
654%0 E!CISION OR TRANSPOSITION OF PTERY$IUMWITHOUT $RAFT
311.0%
CPTCODE
DESCRIPTION OF SERVICE FEE
CORNEA- REMOVAL OR DESTRUCTION654%6 E!CISION OR TRANSPOSITION OF PTERY$IUM WITH
$RAFT393.4
65430 SCRAPIN$ CORNEA, DIA$NOSTIC, FORSMEAR/CULTURE
%.06
65435 REMOVAL CORNEAL EPITHELIUM W)W/OCHEMOCAUTHERI+ATIO
49.58
65436 REMOVAL WITH APPLICATION CHELATIN$ A$ENT&EDTA'
%36.09
65450 DESTRUCTION LESION CORNEA&CRYTO/PHOTO/THERMO'
194.1%
65600 MULTIPLE PUNCTURES OF ANTERIOR CORNEA
$ERATOPLASTY (C"%#&' T%'#!'#*)6510 #ERATOPLASTY &CORNEAL TRANSPLANT',
ANTERIOR LAMELLAR6.
6530 #ERATOPLASTY, PENETRATIN$ &E!CEPT APHA#IAOR PSEUDO'
54.53
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 4/25
6550 #ERATOPLASTY PENETRATIN$ &IN APHA#IA' 65.81
6555 #ERATOPLASTY, PENETRATIN$ &IN PSEUDOPHA#IA' 61.3%
6556 #ERTOPLASTY ENDOTHELIAL 34.3%
655
"AC#"ENCH PREPARATION OF CORNEALENDOTHELIAL ALLO$RAFT PRIOR TO TRANSPLANTATION (USE IN CON+UCTION ,IT.5/5.)
M
6560 #ERATOMILEUSIS 83.9
6565 #ERATOPHA#IA 83.9
656 EPI#ERATOPLASTY 83.9
650 #ERATOPROSTHESIS 86.31
65% CORNEAL RELA!IN$ INCISION SUR$ICALLY INDUCEDASTI$MATISM
%%.66
655 CORNEAL WED$E RESECTION CORRECTION SUR$.ASTII$MATISM
336.34
CPTCODE
DESCRIPTION OF SERVICE FEE
ANTERIOR CAMBER - INCISION65800 PARACENTESIS, ANTERIOR CHAM"ER
W/DIA$NOSTIC ASP94.11
65810PARACENTESIS W/REMOVAL OF VITREOUS AND/ORDISCISSION HYALOID MEM"RANE, WITH/WO AIRIN(ECTION
%85.11
65815 PARACENTESIS, W/REML "LOOD W)W/O
IRRI$ATION/AIR
385.3
658%0 $ONIOTOMY 458.06
65850 TRA"ECULTOMY A" E!TERNO 5%3.5
65855 LASER TRA"ECULOPLASTY ONE OR MORESESSIONS
%08.44
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 5/25
65860 SEVERIN$ ADHESIONS OF ANTERIOR SE$MENT,LASER
19%.38
65865 SEVERIN$ ADESIONS OF ANTERIOR SE$MENT OF
EYE
%91.55
6580 ANTERIOR SYNCHEIAE 360.33
6585 POSTERIOR SYNECHIAE 383.00
65880 SEVERIN$ CORNEOVITREAL ADHESIONS &"R' 403.95
ANTERIOR CAMBER - REMOVAL
65900REMOVAL OF EPITHELIAL DOWN$ROWTH,ANTERIOR CHAM"ER OF EYE 593.%9
659%0 REMOVAL OF IMPLANTED MARTERIAL, ANTERIORCHAM"ER
49.4
65930 REMOVAL OF "LOOD CLOT, ANTERIOR SE$MENT 395.%3
660%0 IN(ECTION, ANTERIOR CHAM"ER, AIR/LI-UID, SEPPROC
113.08
66030 IN(ECTION, ANTERIOR CHAM"ER, MEDICATION 99.69
ANTERIOR SCLERA - ECISION66130 E!CISION OF LESION, SCLERA 431.6
66150 FISTUI+ATION OF SCLERA FOR $LAUCOMA TREPHINATION WITH IRIDECTOMY
5%6.38
CPTCODE
DESCRIPTION OF SERVICES FEE
ANTERIOR SCLERA - ECISION66155 THERMOCAUTERI+ATION WITH IRIDECTOMY 5%4.96
65160 SCLERECTOMY WITH PUNCH OR SCISSORS, WITHIRIDECTOMY
598.33
66165 IRIDENCLEISIS OR IRIDOTASIS 514.16
6610 TRA"ECLECTOMY A" E!TERNO IN A"SENCE OFPREVIOUS SUR$ERY
%4.53
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 6/25
661% TRA"ECULECTOMY &INCLUED IN(ECTION OFANTIFI"ROTIC A$NT'
910.38
6514 TRANSLUMINAL DILATION OF A-UEOUS OUTFLOW
CANAL WITHOUT RETENTION OF DEVICE OR STENT 50.8%
6515 WITH RETENTION OF DEVICE OR STENT 6%3.%
AUEOUS SUNT66180 A-UEOUS SHUNT TO E!TRAOCULAR RESERVIOR
&MOLTENO'%3.63
66183INSERTION OF ANTERIOR SE$MENT A-UEOUSDRAINA$E DEVICE, WITHOUT E!TRAOCULARRESERVIOR, E!TERNAL APPROACH
59%.43
66185 REVISION OF A-UEOUS SHUNT E!TRAOCULARRESERVIOR
455.39
REPAIR OR REVISION66%%0 REPAIR OF SCLERAL STAPHYLOMA WITHOUT $RAFT 444.4
66%%5 REPAIR OF SCLERAL STAPHYLOMA WITH $RAFT 53.60
66%50 REVISION, REPAIR OPERATIVE WOUND OFANTERIOR SE$MENT
45%.81
IRIS CILIARY BODY 66500 IRIDOTOMY "Y STA" INCISION, E!CEPT
TRANSFI!ION%14.55
66505 IRIDOTOMY WITH TRANSFI!ION AS FOR IRIS "OM"E %34.9%
ECISION
66600IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEALSECTION FOR REMOVAL OF LESION 500.01
66605 IRIDECTOMY WITH CYCLECTOMY 651.48CPTCODE
DESCRIPTION OF SERVICES FEE
ECISION
666%5 IRIDECTOMY PERIPHERAL FOR $LAUCOMA %6%.69
66630 IRIDECTOMY SECTOR FOR $LAUCOMA 346.36
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 7/25
66635 IRIDECTOMY OPTICAL 349.91
REPAIR66680 REPAIR OF IRIS, CILIARY "ODY &IRIDODIALYSIS' 31%.4
6668% SUTURE OF IRIS CILIARY "ODY &SEPERATEPROCEDURE'
39.84
DESTRUCTION6600 CILIARY "ODY DESTRUCTION DIATHERMY %3.30
6610 CYCLOPHOTOCOA$ULATION TRANSSCLERAL %68.85
6611 CYCOLPHOTOCOA$ULATION, ENDOSCOPIC 386.56
66%0 CILIARY "ODY DESTRUCTION CRYOTHERAPY %80.93
6640 CILIARY "ODY DESTRUCTION CYCLODIALYSIS %6.03
6661 IRIDOTOMY/IRIDECTOMY "Y LASER SUR$ERY &FOR$LAUCOMA PER SESSION' %3.58
666% IRIDOPLASTY, PHOTOCOA$ULATION &1 OR MORESESSIONS'
%86.94
660 DESTRUCTION OF CYST OR LESION IRIS OR CILIARY"ODY
319.0
LENS – INCISION668%0 DISCUSSION SECONDARY MEM"RANOUS
CATARACT &#NIFE'%40.38
668%1 LASER SUR$RY &YA$ LASER' &1 OR MORE STA$ES' 195.1
668%5
REPOSITIONIN$ OF INTRAOCULAR LENS
PROTHESIS, RE-UIRIN$ AN INCISION &SEPARATEPROCEDURE'
464.44
CPTCODE
DESCRIPTION OF SERVICES FEE
LENS - REMOVAL
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 8/25
66830 REMOVAL SECONDARY MEM"RANOUS CATARACT 43.09
66840 REMOVAL OF LENS ASPIRATION &ONE OR MORESESSIONS'
4%5.4
66850 REMOVALOF LENS PHACOFRA$MENTATION,W/ASPIRATION
486.10
6685% REMOVAL OF LENS PARS PLANA W)W/PVITRECTOMY
5%0.49
669%0 REMOVAL OF LENS INTRACAPSULAR 464.30
66930 REMOVAL OF LENS INTRACAPSULAR F/DISLOCATEDLENS
5%.90
66940 REMOVAL OF LENS E!TRACAPSULAR 49.01
INTRAOCULAR LEN PROCEDURES6698% E!TRACAPULAR CATARACT E!TRACTION W/IOL 661.11
66983 INTRACAPSULAR CATARACT E!TRACTION W/IOL 45.1
66984 E!TRACAPSULAR CATARACT E!TRACTION W/IOL 43.3
66985 INSERTION OF I.O.L. , &SECONDARY IMPLANT' NOT
ASSOCIATED WITH CONCURRENT CATARACTREMOVAL
46.61
66986 E!CHAN$E OF INTRAOCULAR LENS 5%.38
66990USE OF OPHTHALMIC ENDOSCOPE &LIST SEPARETLYIN ADDITION TO CODE FOR PRIMARY PROCEDURE' 59.16
VITREOUS6005 REMOVAL VITREOUS, ANTERIOR APPROACH
&S#Y/LIM"AL'%8.66
6010 REMOVAL VITREOUS, SU"TOTAL/MECHANICALVITRECTOMY
333.5
6015 ASPIRATION OR RELEASE OF VITREOUS PARSPLANA APPROACH
355.13
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 9/25
60%5 IN(ECTION, VITREOUS SU"STITUTE, PARSPLANA/LIM"AL
440.1%
CPTCODE
DESCRIPTION OF SERVICES FEE
VITREOUS
60%IMPLANTATION OF INTRAVITREAL DRU$ DELIVERYSYSTEM INCLUDES CONCOMITANT REMOVAL OFVITREOUS
5%.1%
60%8 INTRAVITREALM IN(ECTION OF PHARMACOLO$ICA$ENT
13%.30
6030 DISCUSSION, VITREOUS STRANDS W/O REML PARSPLANA
316.84
6031 SEVERIN$ OF VITREOUS STRANDS %34.%0
6036 VITRECTOMY, MECHANICAL, PARS PLANAAPPROACH
595.99
6039 VITRECTOMY, WITH FOCAL ENDOLASERPHOTOCOA$ULATION
6%.59
6040 VITRECTOMY WITH ENDOLASER, PANRETINALPHOTOCOA$ULATI 880.43
6041 VITRECTOMY WITH REMOVAL OF PRERETINALCELLULAR MEM"
8%5.40
604% VITRECTOMY WITH REMOVAL OF INTERNALLIMITIN$ MEM"R
946.31
6043 VITRECTOMY WITH REMOVAL OF SU"RETINALMEM"RANE
99%.%8
RETINA OR COROID - REPAIR6101 REPAIR RETINAL DETACHMENT &ONE OR MORE
SESSIONS'41.63
6105 PHOTOCOA$ULATION W)W/O DRAINA$ESU"RETINAL
43.33
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 10/25
610 REPAIR OF RETINA DETACHMENT, SCLERAL"UC#LIN$
49.%%
6108 REPAIR, SCLERAL "UD#LIN$ W/VITRECTOMY 999.00
6110 "Y IN(ECTION OF AIR OR OTHER $AS &PNEUMATICRETINOPE!Y'
5%9.03
611%REPAIR "Y SCLERAL "UC#LIN$ OR VITRECTOMY, ONPATIENT HAVIN$ HAD PREVIOUS DETACHMENTREPAIR
8%4.09
6113 REPAIR OF COMPLE! RETINAL DETACHMENT 1,086.%8
6115 RELEASE ENCIRCLIN$ MATERIAL &POSTERIOR
SE$MENT'
300.%0
CPTCODE
DESCRIPTION OF SERVICES FEE
RETINA OR COROID - REPAIR61%0 REMOVAL OF IMPLANTED MATERIAL, E!TRAOCULAR 39.11
61%1 REMOVAL OF IMPLANTED MATERIAL, INTRAOCULAR 558.0
PROPYLAIS6141 PROPHYLA!IS RETINAL DETACHMENT
DIATHERMY/CRYOTHERAP
316.06
6145 PROPHYSA!IS PHOTOCOA$ULATION LASER 318.93
DESTRUCTION6%08 DESTRUCTION OF LOCALI+ED LESION OF RETINA
1 SESSION366.53
6%10 PHOTOCOA$ULATION, LASER OR SENON ARC FOCAL LASER
4%9.38
6%18 RADIATION "Y IMPLANTATION OF SOURCE &INC.REMOVAL'
83.99
6%%0 DESTRUCTION OF LOCALI+ED LESION OF CHOROID 658.91
DESTRUCTION6%%1 PHOTODYNAMIC THERAPY &INCLUDES 184.95
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 11/25
INTRAVENOUS INFUSION'
6%%5
PHTODYNAMIC THERAPY, &SECOND EYE' LISTSEPERATELY IN ADDITION TO PRIMARY CODE &USEIN CON(UNCTION WITH 6%%1' 19.34
6%% DESTRUCTION, E!TENSIVE/PRO$RESSIVERETINOPATHY
3%.58
6%%8 PHOTOCOA$ULATION PAN RETINAL &SAME EYE 6MONTHS'
3%.%
POSTERIOR SCLERA - REPAIR6%50 SCLERAL REINFORCEMENT WITHOUT $RAFT 48%.55
6%55 SCLERAL REINFORCEMENT WITH $RAFT 515.89
ORBIT – EPLORATION ECISIONDECOMPRESSION
6400
OR"ITOTOMY WITHOUT "ONE FLAP &FRONTAL OR TRANSCON(UNTIVAL APPROACH' FORE!PLORATION, WITH OR WITHOUT "IOPSY 53.3%
CPTCODE
DESCRIPTION OF SERVICES FEE
ORBIT – EPLORATION ECISIONDECOMPRESSION
6405 OR"ITOTOMY WITH DRAINA$E ONLY 48.33
641% OR"ITOTOMY WITH REMOVAL OF LESION 530.95
6413 OR"ITOTOMY W/REMOVAL OF FOREI$N "ODY 530.99
6414 OR"ITOTOMY WITH REMOVAL OF "ONE FORDECOMPRESSION
819.03
6415 FINE NEEDLE ASPIRATION OF OR"ITAL CONTENTS 68.%3
64%0 OR"ITOTOMY W/"ONE FLAP/WINDOW LATERIAL APPW/LESION
1,018.%1
6430 O"ITOTOMY WITH REMOVAL OF FOREI$N "ODY 0.1
6440 OR"ITOTOMY WITH DRAINA$E 48.86
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 12/25
6445 OR"ITOTOMY WITH REMOVAL OF "ONE FORDECOMPRESSION
8.80
6450 OR"ITOTOMY FOR E!PLORATION, WITH ORWITHOUT "IOPSY
%.08
ORBIT – OTER PROCEDURES
6500RETRO"UL"AR IN(ECTION MEDICATION &SEPARATEPROCEDURE, DOES NOT INCLUDE SUPPLY OFMEDICATION'
5.%0
6505 RETRO"U"AR IN(ECTIONS ALCOHOL 55.4
6515 IN(ECTION OF THERAPEUTIC AN$ENT INTO TENONCAPSULE
59.13
6550 OR"ITAL IMPLANT &OUTSIDE MUSCLE CONE'INSERTION
59.1
6560 REMOVAL OF REVISION 908.98
650 OPTIC NERVE DECOMPRESSION&INCISION/FENESTRATION
16.1
EYELIDS – ECISION DESTRUCTION6800 E!CISION OF CHALA+ION SIN$LE .0
6801 E!CISION OF CHALA+ION MULTIPLE, SAME LID 99.9%
CPTCODE
DESCRIPTION OF SERVICES FEE
EYELIDS – ECISION DESTRUCTION600 "LEPHAROTOMY, DRAINA$E OF A"SCESS, EYELID 160.%3
610 SEVERIN$ OF TARSORRHPHY 134.89
615 CANTHOTOMY &SEPARATE PROCEDURE' 14%.43
6805 E!CISION OF CHALA+ION MULTIPLE, DIFFERENCELIDS
1%3.53
6808 E!CISION, $EN ANESTHESIA, RE-D HOSPSIN$LE/MULTI
%%3.%0
6810 "IOPSY EYELID 138.4
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 13/25
68%0 CORRECTION OF TRICHIASIS EPILATION "YFORCEPS
3%.96
68%5 EPILATION, "Y ELECTROSUR$ERY OR
CRYOTHERPHY
8.5
6830 INCISION OF LID MAR$IN FOR TRICHIASIS 161.%8
6835 INCISION OF LID MAR$IN, WITH MUCOUSMEM"RANE $RAFT
%1.0
6840 E!CISION OF LESION EYELID &E!CEPT CHAL+AION' 169.31
6850 DESTRUCTION OF LESIONOFLID MAR$IN &UP TO 1CM'
136.41
TARSORRAPY 685 TEMPORARY CLOSURE OF EYELIDS "Y SUTURE
&FROST'105.89
6880 CONSTRUCTION, INTERMAR$INAL ADHESIONS,MEDIAN
%6.%1
688% WITH TRANSPOSITION OF TRASAL PLATE 341.59
REPAIR (BRO, PTOSIS
BLEPAROPTOSIS LID RETRACTION)6900 REPAIR OF "ROW PTOSIS 394.3%
6901 REPAIR OF "LEPHAROPTOSIS FRONTAL MUSCLE TECHNI-UE
4%5.9%
690% REPAIR FRONTAL MUSCLE TECHNI-UE W/FASCIALSLIN$
44%.46
CPTCODE
DESCRIPTION OF SERVICES FEE
REPAIR (BRO, PTOSISBLEPAROPTOSIS LID RETRACTION)
6904&TARSO' LEVATOR RESECTION OR ADVANCEMENT,E!TERNAL APPROCAH 589.3
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 14/25
CON+UNCTIVA – INCISION ANDDRAINAGE
680%0 INCISION OF CON(UNCTIVA, DRAINA$E OF CYST 3.%4
68040 E!PRESSION CON(UNCTIVAL FOLLICLESF/TRACHOMA
40.98
ECISION AND3OR DESTRUCTION68100 "IOPSY OF CON(UNCTIVA 105.1%
68110 E!ISION OF LESION OF CON(UNCTIVA UP TO 1 CM 136.8
68115 E!CISION OF LESIONOF CON(UNCTIVA OVER 1 CM 189.8
68130 E!CISION OF LESION/CON(UNCTIVA W/ AD(ACENTSCLERA
3%8.43
68135 DESTRUCTION OF LESION, CON(UNCTIVA 96.%8
IN+ECTION68%00 SU"CON(UCTIVAL IN(ECTIONS 13.14
CON+UNCTIVOPLASTY 683%0 CON(UNCTIVOPLASTY W/$RAFT OR
REARRAN$EMENT434.59
683%5 CON(UNCTIVOPLASTY W/"UCCAL MUCOUSMEM"RANE $RAFT
404.
683%6 CON(UNCTIVOPLASTY/ RECONSTRUCTION CUL)DE)SAC W/$)R
394.4%
68330 REPAIR SYM"LEMPHARON, CON(UNCTIOPLASTY, NO$RAFT
365.55
68335 REPAIR SY"LEPHARON W/FREE $RAFT
CON(/"UCCAL MUCO
395.6
68340DIVISION OF SYM"LEPHARON, WITH OR WITHOUTINSERTION OF CONFORMER OF CONTACT LENS 3%8.68
CPT DESCRIPTION OF SERVICES FEE
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 15/25
CODE
OTER PROCEDURES68360 CON(UNCTIVAL FLAP "RID$E OR PARTIAL 3%1.1
6836% CON(UNCTIVAL FLAP TOTAL 401.1
LACRIMAL SYSTEM - INCISION68400 INCISION DRAINA$E LACRIMAL $LAND 169.95
684%0 INCISION, DRAINA$E LACRIMAL SAC 195.59
68440 SNIP INCISION OF LACRIMAL PUNCTUM 65.10
68500 E!CISION, LACRIMAL "LAND TOTAL E!CEPT FOR TUMOR
59.60
LACRIMAL SYSTEM - INCISION68505 E!CISION, LACRIMAL $LAND PARTICAL E!CEPT FOR
TUMOR600.95
68510 "IOPSY OF LACRIMAL $LAND %80.63
685%0 E!CISION OF LACRIMAL SAC 4%%.64
685%5 "IOPSY OF LACRIMAL SAC 1%.%
68530 REMOVAL FOREI$N "OYD OF DACRYOLITH,LACRIMAL PATH
%66.0
68540 E!CISION OF LACRIMAL $LAND TUMOR, FRONTALAPPROCAH
51.53
68550 E!CISION OF LACRIMAL $LAND TUMOR,W/OSTEOTOMY
0%.33
LACRIMAL SYSTEM -REPAIR
6800 PLASTIC REPAIR OF CANALICULI 368.89
6805 CORRECTION OF EVERTED PUNCTUM CAUTERY 145.15
68%0 DACRYOCYSTORHINOSTOMY &FISTULI+ATIONLACRIMAL SAC'
%68.%4
6845 CON(UNCTIVORHINOSTOMY &FIST CON(UNCTIVAL' 469.54
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 16/25
W/O TU"E
6850 CON(UNCTIVORHINOSTOMY &FIST CON(UNCTIVA'W/TU"E
48%.88
CPTCODE
DESCRIPTION OF SERVICES FEE
LACRIMAL SYSTEM -REPAIR6860 CLOSURE OF LACRIMAL PUNCTUM 1%3.00
6861 CLOSURE OF LACRIMAL PUNCTUM "Y PLU$ 89.9
680 CLOSURE OF LACRIMAL FISTULA &SEPARATEPROCEDURE'
365.9
68840 PRO"IN$ OF LACRIMAL CANALICULI, W)W/OIRRI$ATION
5.99
68850 IN(ECTION CONTRAST MEDIUMF/DARCRYOCYSTOPRAPHY
4%.88
DIAGNOSTIC ULTRASOUND - SCANS6510
%6
OPHTHALMIC ULTRASOUND, DIA$NOSTIC ")SCANAND -UANTITATIVE A)SCAN PERFORMED DURIN$ THE SAME PATIENT ENCOUNTER
INTREPRETATION
106.80
60.04
6511%6
-UANTITATIVE A)SCAN ONLYINTREPRETATION
69.%436.%5
651%%6
")SCAN &W)W/O SUPERIMPOSED NON)-UANTITATIVE A)SCAN'INTREPRETATION
64.9036.38
6513
%6
ANTERIOR SE$MENT ULTRASOUND, IMMERSION&WATER "ATH' ")SCAN OR HI$HER RESOLUTION"IOMICROSCOPY0INTREPRETATION
59.33
%4.94
6514%6
CORNEAL PACHYMETRY, UNILATERIAL OR"ILATERALINTREPRETATION
9.116.69
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 17/25
6516%6
OPHTHALMIC "IOMETRY "Y ULTRASOUNDECHO$RAPHY, A)SCAN
INTREPRETATION
4.5%0.6
6519
%6
OPTHALMIC "IOMETRY ULTRASD E$RAPHY A)SCAN
W/ LENSINTREPRETATION
50.86
%0.93
OPTALMOLOGY – NE, PATIENT9%00% INTERMEDIATE EYE E!AM NEW PATIENT 49.48
9%004 COMPREHENSIVE EYE E!AM NEW PATIENT 93.50
CPTCODE
DESCRIPTION OF SERVICES FEE
LO, VISION EAM
9%005 LOW VISION E!AMINATION &SCC" CLINIC' 95.00ESTABLISED PATIENT9%01% INTERMEDIATE/RE)E!AM ESTA"LISHED PATIENT 5%.13
9%014 DILATED/INTERMEDIATE E!AM ESTA"LISHEDPATIENT
6.%6
SPECIAL OPTALMOLOGICALSERVICES
9%015 DETERMINATION OF REFRACTIVE STATE %4.65
9%0%0 $ONIOSCOPY, NOT PART OF COMPLETE EYE E!AM 1.6
9%0%5
%6
COMPUTERI+ED CORNEAL TOPO$RAPHY,UNILATERAL OR "ILATERAL,INTERPRETATION AND REPORT
%%.59
13.%8
9%081%6
VISUAL FIELDS E!AMINATION, UNILATERAL OR"ILATERIALINTREPRETATION
34.5913.56
9%08%%6 HUMPHREY VISUAL FIELDS E!AMINATION,INTERMEDIATEINTREPRETATION
45.616.58
9%083%6
$OLDMANN VISUAL FIELDS E!TENDED E!AM INTREPRETATION
5%.%919.03
SERIAL TONOMETRY &SEPARATE PROCEDURE' WITH
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 18/25
9%100 MULTIPLE MEASUREMENTS OF INTRAOCULARPRESSURE
59.01
9%13%%6
SCANNIN$ COMPUTERI+ED OPHTHALMICDIA$NOSTIC IMA$IN$
INTERPRETATION
%1.41%.45
9%133%6
SCANNIN$ COMPUTERI+ED OPHTHALMICDIA$NOSTIC &OCT'INTREPRETATION
%6.411.38
9%134%6
SCANNIN$ COMPUTERI+ED OPHTHALMIC &OCT'INTREPRETATION
%6.411.38
9%136
%6
OPHTHALMIC "IOMETRY "Y PARTIAL COHERENCEINTERFEROMETRY WITH IOL POWER CALCULATION
INTREPRETATION
53.91
%0.93CPT
CODEDESCRIPTION OF SERVICES FEE
SPECIAL OPTALMOLOGICALSERVICES
9%140 PROVOCATIVE TESTS FOR $LAUCOMA, WITHINTREPRETATION AND REPORT, WITHOUT TONO$RAPHY
3.89
OPTALMOSCOPY
9%%%5 OPHTHALMOSCOPY, E!TENDED W/RETINALDRAWIN$
16.93
9%%%6 OPHTHALMOSCOPY ) SU"SE-UENT 15.0
9%%% REMOTE IMA$IN$ FOR DETECTION OF RETINALDISEASE
6.9
9%%%8REMOTE IMA$IN$ FOR MONITORIN$ ANDMANA$EMENT OF ACTIVE RETINAL DISEASE 1.9
9%%30 FLRORESCEIN AN$IOSCOPY W/INTERPRETATION
AND REPORT
40.0
9%%35%6
FLUROESCEIN AN$IO$RAPHYINTREPRETATION
83.6931.45
9%%50%6
FUNDUS PHOTOINTREPRETATION
4.0316.58
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 19/25
9%%85%6
E!TERNAL OCULAR PHOTO$RAPHYINTERPRETATION
%.%8.9
9%%86
%6
ANTERIOR SE$MENT IMA$IN$
INTERPRETATION
8.%0
%5.19
CONTACT LENS FITTING
9%01FITTIN$ OF CONTACT LENS FOR TREATMENT OFOCULAR SURFACE DISEASE 19.80
9%0%INITIAL FITTIN$ OF CONTACT LENS FORMANA$EMENT OF #ERATOCONUS INITIAL FITTIN$ 8.00
9%310PRESCRIPTION OF OPTICAL AND PHYSICALCHARACTERISTICS OF AND FITTIN$ OF CONTACTLENS
69.%
9%311 CORNEAL LENS FOR APHA#IA, 1 EYE 6%.6%
9%31% CORNEAL LENS FOR APHA#IA, "OTH EYES %.%5
CPTCODE
DESCRIPTION OF SERVICE FEE
CONTACT LENS FITTING9%313 CORNEOSCLERAL LENS 60.03
FITTING FOR GLASSES9%340 FITTIN$, SPECTACLES E!CEPT FOR APHA#IA,
MONOFOCAL%6.53
CONTACT LENS SERVICES
("% *%&'*&#* " &6& 7!&'!&"#6)
LENS SOFT ONE EYE 1%5.00
LENS HARD ONE EYE 150.00
OFFICE VISIT - MEDICAL99%01 INITIAL OFFICE VISIT E!AM %6.80
99%0% INITIAL OFFICE VISIT ) E!AM 46.53
99%03 INITIAL OFFICE VISIT ) E!AM 6.3
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 20/25
99%04 LEVEL IV MEDICAL E!AM NEW PATIENT 104.69
99%05 $ENERAL MEDICAL HEMO$LO"IN * URINALYSIS 13%.41
OFFICE VISIT – ESTABLISED PATIENT99%11 LEVEL I FOLLOW UP ESTA"LISHED PATIENT 13.5%
99%1% LEVEL II FOLLOWUP ESTA"LSHED PATIENT %.05
99%13 LEVEL III FOLLOWUP ESTA"LISHED PATIENT 45.3
99%14 LEVEL V FOLLOWUP ESTA"LSIHED PATIENT 68.36
99%15 LEVEL V FOLLOWUP ESTA"LISHED PATIENT 9%.44
INITIAL CONSULTATION99%41 INITIAL OFFICE CONSULTATION 35.45
99%4% INITIAL OFFICE CONSULTATION 66.48
99%43 INITIAL OFFICE CONSULTATION 91.48
99%44 INITIAL OFFICE CONSULTATION 136.16
CPTCODE
DESCRIPTION OF SERVICE FEE
AUDIOLOGICAL EVALUATION
99%45 INITIAL OFFICE CONSULTATION 16.31
9%550 TYMPANOMETRY AND RELFE! THRESHOLDMEASUREMENTS
1%.0
9%551 SCREENIN$ TEST, PURE TONE, AIR ONLY .
9%55% PURE TONE AUDIOMETRY &THRESHOLD' AIR ONLY 14.5%
9%553 AIR AND "ONE 19.69
9%555 SPEECH AUDIOMETRY THRESHOLD 10.69
9%55 COMPREHENSIVE AUDIOMETRY THRESHOLDEVALUATION
31.89
9%59% HEARIN$ AID CHEC#, MONAURAL 1.91
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 21/25
HEARIN$ AIDS CONSULT +ERRY FRANCIS
ANESTESIAANESTHEISA ESTIMATION ONLY
&2 72 : ; <7= >?@ 2?> B@@; @?@>='
150.00
CORNEA TISSUEV2/85 CORNEA TISSUE %,880.00
IN+ECTION +90:5 AVASTIN USE IN CON(UNCTION WITH ./028 64.6%
CPTCODE
DESCRIPTION OF SERVICE FEE
ASSESSMENT SERVICESPSYCIATRIC SERVICES
9091 PSYCHIATRIC DIA$NOSTIC EVALUATION 115.38
909% PSYCHIATRIC DIA$NOSTIC EVALUATION WITHMEDICAL SERVICES
115.38
9083%PSYCHOTHERAPHY :0 MINUTES WITH PATIENTAND/OR FAMILY MEM"ER 33.8
90833
PSYSCHOTHERAPHY, :0 MINUTES WITH PATIENTAND/OR FAMILY MEM"ER WHEN PERFORMED WITHAN EVALUATION AND MANA$EMENT SERVICE &LISTSEPERATELY IN ADDITION TO THE CODE OFPRIMARY PROCEDURE'
%%.60
90834PSYCHOTHERAPHY, 45 MINTUES WITH PATIENTAND/OR FAMILY MEM"ER 43.95
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 22/25
90836
PSYCHOTHERAPHY, 45 MINUTES WITH PATIENTAND/OR FAMILY MEM"ER WHEN PERFORMED WITHAN EVALUATION AND MANA$EMENT OF SERVICE&LIST SEPERATELY IN ADDITION TO THE CODE FOR
PRIMARY PROCEDURE'
36.3
9083PSYCHOTHERAPHY .0 MINUTES WITH PATIENTAND/OR FAMILY MEM"ER 64.3
90838
PSYCHOTHERAPHY, .0 MINUTES WITH PATIENTAND/OR FAMILY MEM"ER WHEN PERFORMED WITHAN EVALUATION AND MANA$EMENT SERVICE &LISTSEPERATELY IN ADDITION TO THE CODE FORPRIMARY PROCEDURE'
59.13
96101 PHYCHOLO$ICAL TESTIN$ – PER OUR 63.91
MOST FREGUENTLY USED OUTPATIENT
FACILITY FEES
O?>>> F@> F:
.510:E?@>2 B/I@> ?:@ 2>>>= >2 @>
1,585.3
.5105E?@>2 2 B/@>,?:@A>>= >2
1,585.3
.5420C2<, E:2 2< ><:2:>2 2P><G? B>2?> G<> 8%%.%3
.5/10 #<>2@:> &C2< T<:@>L@@<'
%,936.54
.5/:0 #<>2@:> P><>G &2) %,936.54
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 23/25
'
.5/55 #<>2@:> P><>G &
:?=2'
%,936.54
.5850 T<;?@>2 1,339.05
.5855 T<;?@2@:> L:< ("#& "%"%& !&!!"#!)
8%%.%3
..1/0 T<;?@>2 ; ><2 ;: 2 <72?: :?<G< 1.339.05
..1/2
T<;?@>2 ; ><2
B/:<<G <2 <72?: 2?@<:?<G< 2< ><? &@?=:>2 2 >J;<2> G>:'
1,339.05
..1/4 T<:@?@ =@>2 2 K?2?:2?>2B @ B>2?> <>>2 2=7 2< :>>
1,339.05
..1/5 T<:@?@ =@>2 2 K?2?:
2?>2B @ B> <>>2 2=7 2< :>>
1,339.05
O?>>> F@> F:
..180 AK?2?: S?> >2 >< 2?@<<:<72<
1,585.3
...:0 I<=>2 :>2< 2< $@?2 1,585.3
..821 YG L:< "#& "% "%& !&!!"#! 1,339.05
..982 E>< :?@< ><> <27@ 95.00
C><> E><>2 B> P<<
8/19/2019 CPT CODE LIST 2014-2015 (1)
http://slidepdf.com/reader/full/cpt-code-list-2014-2015-1 24/25
..984 I:<>2 2 I><2?@< L: 95.00
..985 I:<>2 2 I.O.L., S?;:K?> 2E><>2
95.00
./0:. V><>2, @, <: @<2
1,339.05
./0:9 V><>2, W/ 2@ =2@:<, PRP 1,339.05
./040V><>2, B> =2@:<<>@2>22G?@>2
1,339.05
./041V><>2, B> <27@ 2 <)<>@ @@?@< ;<
1,339.05
./042V><>2, B> <27@ 2 ><@@>G ;<
1,339.05
./04:
V><>2, B> <27@ 2 :?;)
<>@ ;< 1,339.05
./10/R< 2 <>@ =>> :@< ;?G B/B>2?> @>
1,339.05
O?>>> F@> F:
./108R< <>@ =>> B>7><>2 >2= 1,339.05
./110R< 2 <>@ =>> ;>2 2 < 2< 2>< G:
1,339.05
Recommended