CPT Code 92015: Determination of refractive state

Yes, if the refraction is medically necessary and separately documented. Follow payer rules regarding bundling and modifier use, if applicable.

The CPT code for a refractive test is 92015, which represents the determination of a patient's refractive state. This service measures how light is focused by the eye to detect refractive errors such as myopia, hyperopia, astigmatism, or presbyopia, and is typically used to prescribe corrective lenses.

The diagnosis codes for refractive errors are found under the ICD-10-CM category H52. Common examples include H52.0 for hypermetropia, H52.1 for myopia, H52.2 for astigmatism, and H52.4 for presbyopia, which are used to justify the medical necessity of CPT 92015 in clinical documentation.