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Orthoptic training, as defined by CPT® Code 92066, involves individual sessions aimed at enhancing the function of the eye muscles. This specialized training is conducted under the supervision of a physician or another qualified healthcare professional. The primary goal of orthoptic training is to improve visual tracking and address various ocular issues, including uncoordinated eye movements, which are often associated with conditions such as amblyopia (commonly known as lazy eye) and strabismus (misalignment of the eyes). Additionally, it targets defects in binocular vision, such as convergence insufficiency, a condition where the eyes struggle to turn inward when focusing on nearby objects. During these sessions, the physician prescribes specific exercises that involve eye movement and focusing techniques tailored to the patient's needs. The training may utilize a diverse array of methods and tools, including prisms, pencil push-ups, specially tinted lenses, color cards, penlights, mirrors, video games, and tracing pictures. While some of the visual therapy is conducted in a clinical setting, patients may also be assigned exercises to practice at home. It is important to note that CPT® Code 92066 is specifically used when the orthoptic training is performed under the supervision of a qualified professional, distinguishing it from similar services that may be reported under different codes.
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The indications for orthoptic training under CPT® Code 92066 include a variety of ocular conditions that necessitate improvement in eye muscle function and visual coordination. These conditions may include:
The procedure for orthoptic training involves several key steps that are designed to enhance the patient's visual capabilities through targeted exercises. These steps include:
After completing the orthoptic training sessions, patients are typically advised to continue practicing the prescribed exercises at home to maintain and further enhance their visual skills. Follow-up appointments may be scheduled to monitor progress and make any necessary adjustments to the exercise regimen. The physician may also provide additional recommendations for ongoing visual care and management of any underlying conditions. It is essential for patients to adhere to the home practice guidelines to achieve optimal results from the orthoptic training.
| Short Descr | ORTHOP TRAING SUPVJ PHYS/QHP | Medium Descr | ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP | Long Descr | Orthoptic training; under supervision of a physician or other qualified health care professional | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 3 - Technical Component Only Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 01 - Procedure must be performed under the general supervision of a physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | Q - Vision Items or Services | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GT | Via interactive audio and video telecommunication systems | GA | Waiver of liability statement issued as required by payer policy, individual case | GX | Notice of liability issued, voluntary under payer policy | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. |
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| 2023-01-01 | Added | Code added. |
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