CPT code 92012 designates a comprehensive eye examination, including a determination of the refractive state, and an evaluation of the ocular adnexa. The service encompasses a thorough assessment of the visual system. As an example, this examination would include checking visual acuity, assessing eye movements, examining the external eye structures, and performing a dilated fundus examination to evaluate the retina and optic nerve.
Accurate assignment of this procedural code is crucial for appropriate reimbursement and claims processing within the healthcare system. It provides a standardized method for billing and tracking ophthalmological services. Its consistent application ensures financial transparency and allows for the collection of data to monitor trends in eye care service utilization. The code’s existence facilitates communication between healthcare providers and insurance companies, enabling efficient management of patient care and related expenses.