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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.2 Services, Benefits, Limitations, and Prior Authorization : 9.2.46 Ophthalmology

When an ophthalmologist sees a client for a minor condition that does not require a complete eye exam, such as conjunctivitis, providers are to use the appropriate office E/M code.
Providers are to use the eye exam procedure codes with a diagnosis of ophthalmological disease or injury.
Refer to:
Subsection 4.3.5, “Vision Testing,” in the Vision and Hearing Services Handbook (Vol. 2, Provider Handbooks).

Texas Medicaid & Healthcare Partnership
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