When coding with CPT for a corneal abrasion, you will have an office visit to code in this case either a 920X2 or a 992XX code could be appropriate to use for describing your professional services in examining the patient, determining the primary diagnosis and developing a treatment plan.Īssuming your treatment plan includes applying a soft bandage contact lens, you would use 92071 to describe this service. Let’s break it down to determine how to code the encounter from start to finish, including the diagnosis, initial treatment and follow-up care. While the clinical presentation and treatment regimen may seem straightforward, the coding for it may not be. For many patients, a bandage contact lens is an excellent treatment approach it can provide protection during the healing process, relieve pain and protect the ocular surface. This scene plays out in any number of varying presentations in optometric practice, as the underlying diagnosis, corneal abrasion, is a fairly common clinical finding.
So he thought it would be a good idea to come and get it checked out. The basketball hit him in the head and he thinks it scratched his eye. He says he was playing basketball with friends.
A patient presents urgently with an eye that is painful, light sensitive and red.
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