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Eye Care Billing Blog

Practical guides on ophthalmology and optometry billing, coding, payers and revenue cycle management, written by eye care billing specialists.

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Ophthalmology CPT Codes List With 2026 Billing Rules

Ophthalmology CPT codes for eye exams, diagnostic tests and surgery, with 2026 billing rules, bundling edits and links to detailed code guides.

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Ophthalmology ICD-10 Codes List by Eye Condition

Ophthalmology ICD-10-CM codes for glaucoma, cataract, retina, cornea and eyelid conditions, with laterality and staging rules.

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ICD-10 Codes for Diabetic Retinopathy by Type, Severity and Eye

How to build diabetic retinopathy ICD-10 codes by diabetes type, severity, macular edema and laterality, with examples.

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CPT Code 92004 for a Complete New Patient Eye Exam

CPT 92004 requirements, new patient definition, reimbursement and when to choose 99204 instead for a new patient eye exam.

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CPT Code 92250 for Fundus Photography and How to Bill It

CPT 92250 fundus photography billing, medical necessity, bundling with OCT and ophthalmoscopy, and frequency guidance.

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CPT Code 92133 for Optic Nerve OCT and How to Bill It

CPT 92133 optic nerve OCT for glaucoma, covered diagnoses, frequency and the rule against billing it with 92134 on the same day.

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Glaucoma ICD-10 Codes With Staging and Laterality

Glaucoma ICD-10 codes with the 7th character stage and laterality, plus examples for POAG and angle closure.

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Ophthalmology Modifiers List and When to Use Each One

Every modifier eye care coders use, from 25 and 57 to 79, RT, LT and E1 to E4, with plain rules and examples for each.

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ICD-10 Codes for Macular Degeneration by Type, Stage and Eye

ICD-10 codes for dry and wet macular degeneration (H35.31, H35.32) by stage and laterality, with injection billing pairings.

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Modifier 58 for Staged or Related Procedures in Eye Surgery

Modifier 58 explained for planned, staged or more extensive eye procedures during a global period, with examples.

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Modifier 78 for an Unplanned Return to the OR in Eye Surgery

Modifier 78 covers an unplanned return to the operating room during a global period. Eye surgery examples and payment rules.

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Modifier 50 vs RT and LT for Bilateral Eye Procedures

When to bill modifier 50 and when to bill RT and LT lines for bilateral eye procedures, by payer and code type.

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CPT Code 92014 for Complete Established Eye Exams

CPT 92014 description, required exam elements, payer rules and common denial reasons for established patient complete eye exams.

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Modifier 25 Rules With Eye Care Examples

Modifier 25 explained for eye care. When a same-day exam is separately identifiable, what to document and why intravitreal injection visits draw audits.

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CPT Code 92134 Retina OCT Billing Rules and Frequency

CPT 92134 retinal OCT billing guide covering covered diagnoses, frequency limits, bilateral payment and bundling with 92133 and 92250.

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Modifier 24 for Unrelated Visits After Eye Surgery

Modifier 24 explained with eye care examples. Bill an unrelated E/M or eye visit during a surgical global period without a denial.

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CPT Code 92015 Refraction Billing and Who Pays for It

CPT 92015 refraction is non-covered by Medicare. How to bill it, collect from patients and handle vision plans and ABN questions.

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Modifier 26 and TC for Diagnostic Tests in Eye Care

Modifier 26 and TC split the professional and technical parts of tests like OCT and visual fields. Rules, examples and payment splits.

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Modifier 57 Decision for Surgery in Eye Care

Modifier 57 marks the visit where the decision for major surgery was made. Eye care examples, timing rules and common errors.

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Modifier 79 for Unrelated Procedures in the Global Period

Modifier 79 explained with second-eye cataract and YAG examples, plus how it restarts the global period.

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In-House vs Outsourced Medical Billing for Eye Care Practices

In-house vs outsourced medical billing for eye care. Salary, benefits, software, turnover and collection results compared side by side.

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Vision Medical Billing Software for Eye Care Practices Compared

Vision medical billing software compared. ModMed EMA, Nextech, Compulink, RevolutionEHR, Eyefinity and NextGen by billing features.

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