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December 2016 Texas Medicaid Provider Procedures Manual

Vision and HearingServices Handbook : 4 Vision Care Professionals : 4.3 Services, Benefits, Limitations, and Prior Authorization : 4.3.5 Vision Testing : Other Specialized Vision Services
The following procedure codes may be reimbursed by Texas Medicaid when the services are medically necessary:
Procedure codes 92227, 92228, 92265, 92270, 92275, 92285, 92286, and 92287 may each be reimbursed once per day and twice per calendar year by any provider.
External ocular photography (procedure code 92285) may be reimbursed once per day, when it is billed by any provider.
For other professional services, fitting services are included in the reimbursement for prosthetic eyeglasses or contact lenses.
Microfluidic analysis is a CLIA-waived lab test and may be performed by optometrists in the office setting.
Refer to:
Subsection 2.2.15, “Urinalysis and Chemistry” in the Radiology and Laboratory Services Handbook (Vol. 2, Provider Handbooks) for information about microfluidic analysis (procedure code 83861).

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.