PDF Version
TO: Ophthalmologists and Optometrists
RE: Rate Increase Eye Care Services
Effective September 1, 2023, the Alabama Medicaid Agency
will increase the reimbursement rates for Eye Care Services listed below.
|
Eye Care
Procedure Codes
|
Modifier
|
Procedure Code Description
|
Medicaid
Reimbursement Rate
Effective 09/01/2023
|
|
92002
|
|
Eye Exam New Patient-problem
focused
|
$69.02
|
|
92004
|
|
Eye Exam New
Patient-complete exam
|
$120.72
|
|
92012
|
|
Eye Exam Establish
Patient-problem focused
|
$71.51
|
|
92014
|
|
Eye Exam & Tx
Estab PT 1/>Vst
|
$101.63
|
|
92025
|
|
Corneal Topography
|
$28.86
|
|
92083
|
|
Visual Field Examinations
(s)
|
$49.73
|
|
92133
|
|
Cmptr Ophth Img
Optic Nerve
|
$29.55
|
|
92133
|
26
|
Cmptr Ophth Img
Optic Nerve
|
$17.73
|
|
92133
|
TC
|
Cmptr Ophth Img
Optic Nerve
|
$11.82
|
|
92134
|
|
Cptr Ophth Dx Img
Post Segmt
|
$32.59
|
|
92134
|
26
|
Cptr Ophth Dx Img
Post Segmt
|
$19.55
|
|
92134
|
TC
|
Cptr Ophth Dx Img
Post Segmt
|
$13.04
|
For questions related to the Eye
Care Services procedure code reimbursement rates, contact the Gainwell
Technologies Provider Assistance Center at 1-800-688-7989.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2023
American Medical Association
and © 2023 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.