CPT Code 92499: Unlisted Ophthalmological Service or Procedure

CPT Code 92499: Unlisted Ophthalmological Service or Procedure

Learn how to use CPT code 92499 for unlisted ophthalmological services, including documentation tips and billing guidelines.

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Frequently asked questions

Yes, if no specific CPT code has been assigned to the technology or test being performed, 92499 may be appropriate as an unlisted ophthalmological service. Be sure to confirm this with payer policies and submit thorough documentation.

Payment is not guaranteed. Most healthcare providers must include detailed justification of medical necessity, attach a comparable code, and be prepared for payer review or appeals.

No, the code is not inherently time-based. However, including time spent and clinical details in your documentation helps support manual pricing and claim valuation.

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