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3.3.4.3 Special Ophthalmological Services
The following procedure codes may be reimbursed for special ophthalmological services:
These special ophthalmological services will be denied if billed the same day as an intermediate or comprehensive new patient or established patient office visit or eye examination visit.
Special ophthalmological service procedure codes 92018, 92019, 92025, 92081, 92082, 92083, 92120, 92135, and 92140 may be reimbursed in addition to the general eye examination visit procedure codes 92002, 92004, 92012, and 92014.
Procedure codes 92020, 92060, and 92100 are considered part of the office visit/eye examination and will not be reimbursed when billed with the same date of service as an office visit/eye examination.
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