Summary & Overview
CPT 92083: Extended Visual Field Examination with Interpretation
CPT code 92083 is a critical procedure in ophthalmology, representing an extended visual field examination with interpretation and report. This code is widely used to assess and monitor patients with complex visual field abnormalities, including those with glaucoma, optic nerve disorders, and intracranial pathologies that may impact vision. The procedure is typically performed in an ophthalmology office and is essential for comprehensive evaluation of visual function.
Major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare, provide coverage for this service. The publication offers insights into payer policies, clinical indications, and billing practices associated with 92083. Readers will find information on relevant modifiers, associated taxonomies, and ICD-10 diagnoses that support medical necessity for this procedure. Additionally, the article highlights related CPT codes, such as 92082 and 92250, to provide context for visual field and retinal imaging services.
This summary equips healthcare professionals, billing specialists, and policy analysts with a comprehensive understanding of the clinical and administrative aspects of 92083. Key benchmarks, policy updates, and clinical context are presented to support accurate coding and reimbursement for extended visual field examinations.
CPT Code Overview
CPT code 92083 represents a visual field examination, performed unilaterally or bilaterally, with interpretation and report. This is an extended examination used in ophthalmology to assess the patient's visual field in greater detail. The service is typically provided in an ophthalmology office setting, such as place of service 11. This procedure is essential for evaluating complex visual field abnormalities and monitoring conditions that affect vision.
Clinical & Coding Specifications
Clinical Context
A patient presents to an ophthalmology office with symptoms such as decreased peripheral vision, visual disturbances, or is undergoing routine monitoring for a known diagnosis of glaucoma or optic nerve disorder. The ophthalmologist orders a visual field examination to assess the extent and pattern of visual field loss. The procedure involves an extended visual field test, typically using automated perimetry, performed on one or both eyes. The results are interpreted by the physician, and a formal report is generated to guide diagnosis, management, or monitoring of conditions such as glaucoma, optic nerve disorders, or intracranial pathology affecting vision.
Coding Specifications
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Modifiers:
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26: Used to indicate the professional component, when the physician interprets the visual field test and provides a report. - Modifier
TC: Used to indicate the technical component, when the facility provides the equipment and technical staff for the test.
- Modifier
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Provider Taxonomies:
207W00000X: Represents the specialty of Ophthalmology.
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