Typically yes, if medically necessary. If not performed, documentation must clearly justify why.
CPT Code 92004: Comprehensive Eye Exam, New Patient
Learn more about the documentation requirements and billing guidelines of CPT code 92004 with our short guide.
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Frequently asked questions
No. Contact lens fitting and evaluation have separate codes and are not included. 92004 is under comprehensive ophthalmological services.
Yes, if medically necessary and the services are clearly documented as separate from the exam.
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