Where is the cheapest place to get your eyes checked?
ICD-9-CM codes are very different than ICD-10-CM/PCS code sets:
Z01.00 is a billable diagnosis code used to specify a medical diagnosis of encounter for examination of eyes and vision without abnormal findings. The code Z01.00 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
As the optometrist just does a pressure check and offers counseling on medication it qualifies as level 3, and maybe level 4 medical office visits at times. The code to be used for this again is 99213 and 99214.
Ophthalmology Services and Procedures CPT® Code range 92002- 92499. The Current Procedural Terminology (CPT) code range for Ophthalmology Services and Procedures 92002-92499 is a medical code set maintained by the American Medical Association.
92014 versus 99214. The code is not intended to be used for frequent follow-up visits for serious pathological conditions. Use 99214 when following serious diseases as long as your medical decision making is moderate and you have the medical necessity to perform nine of the elements.
Claims by either an ophthalmologist or optometrist for routine comprehensive eye examinations (CPT codes 92004 [new patient] and 92014 [established patient]) are covered once every two years for recipients of any age.