This alphanumeric designation, as assigned by the American Medical Association, identifies a specific ophthalmological service. It represents a comprehensive eye examination with initiation of diagnostic and treatment program; new patient. This procedural code is utilized when an ophthalmologist or optometrist performs a thorough evaluation of a patient who is new to their practice, involving a detailed assessment of their visual system and the development of a plan to address any identified issues. This evaluation includes, but is not limited to, assessment of visual acuity, ocular motility, refraction, and examination of the external eye, pupils, and internal structures.
Accurate application of this code is crucial for appropriate reimbursement from insurance providers and ensures proper documentation of the services rendered. The code provides a standardized way to communicate the nature of the service provided, facilitating claims processing and data analysis. Its consistent use contributes to the understanding of ophthalmological service patterns and resource allocation within the healthcare system. Historically, the development of such codes has aimed to streamline billing processes and improve the transparency of medical procedures.
