| Column 1 |
Column 2 |
Indicator |
| 65757 Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) |
69990 Microsurgical techniques, requiring use of operating microscope |
0 |
| 65760 Keratomileusis |
69990 Microsurgical techniques, requiring use of operating microscope |
0 |
| 65765 Keratophakia |
69990 Microsurgical techniques, requiring use of operating microscope |
0 |
| 65767 Epikeratoplasty; also known as KEF |
69990 Microsurgical techniques, requiring use of operating microscope |
0 |
| 65771 Radial keratotomy |
J0670 Injection, mepivacaine HCL, per 10 ml J2001 Injection, lidocaine HCL, up to 300 mg |
1 |
| 65785 Implantation of intrastromal corneal ring segments |
J0670 Injection, mepivacaine HCL, per 10 ml J2001 Injection, lidocaine HCL, up to 300 mg |
1 |
| 76510 Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter |
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device). Imaging supervision and interpretation |
1 |
| 76511 Ophthalmic ultrasound, diagnostic; quantitative A-scan only |
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device). Imaging supervision and interpretation |
1 |
| 76512 Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed nonquantitative A-scan) |
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device). Imaging supervision and interpretation |
1 |
| 76513 Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy |
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device). Imaging supervision and interpretation |
1 |
| 76514 Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) |
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device). Imaging supervision and interpretation |
1 |
| 76529 Ophthalmic ultrasonic foreign body localization |
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device). Imaging supervision and interpretation |
1 |
| 92025 Computerized corneal topography, unilateral or bilateral, with interpretation and report |
65760 Keratomileusis 65765 Keratophakia 65767 Epikeratoplasty; also known as KEF 65771 Radial keratotomy |
1 |
| 99201-99205 New patient E/M exam codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99211-99215 Established patient E/M exam codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99217 observation care discharge |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99218-99220 Initial observation care E/M exam codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99224-99226 Subsequent observation care E/M exam codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99221-99223 Initial hospital care E/M exam codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99231-99233 Subsequent hospital care E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99234-99236 Observation or inpatient same day discharge E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99238-99239 Hospital discharge day management |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99241-99245 Office consultation E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99251-99255 Inpatient consultation E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99281-99285 Emergency department visit E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99291-99292 Critical care E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99304-99306 Initial nursing facility care E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99307-99310 Subsequent nursing facility E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99315-99316 Nursing facility discharge E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99324-99328 New patient domiciliary, rest home E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99334-99337 Established patient domiciliary, rest home E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99341-99345 New patient home visit E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |
| 99347-99350 Established patient home visit E/M codes |
99173 Screening test of visual acuity, quantitative, bilateral |
1 |