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2025 CPT code 92019

Limited ophthalmological examination and evaluation under general anesthesia, with or without manipulation of the globe.

Use 92019 for a limited exam under anesthesia. For a complete exam under anesthesia, use 92018.

Modifiers may be applicable. Modifier 59 may be used to indicate a distinct and separate service.

Medical necessity must be clearly documented. General anesthesia for an eye exam is only medically necessary when a patient cannot cooperate with a routine examination due to age, developmental disability, or other medical conditions.

The physician is responsible for preparing the patient for anesthesia, performing the limited eye examination, managing any complications, and post-operative care.

In simple words: This is a limited eye exam performed under general anesthesia. It is used for patients who are unable to cooperate with a regular eye exam, such as young children or those with certain medical conditions. The doctor may move the eye to get a better view inside. This exam can help diagnose conditions like glaucoma, retinal problems, or tumors.

Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited. This service is typically performed on children or patients unable to cooperate with a standard eye exam.It involves a limited evaluation of the eye under general anesthesia, and may include manipulation of the globe to aid in the examination. The examination may be performed to diagnose conditions such as glaucoma, retinal abnormalities, or tumors.

Example 1: A 2-year-old child presents with suspected retinoblastoma. Due to the child's age and inability to cooperate, examination under anesthesia (92019) is necessary to confirm the diagnosis., A patient with an intellectual disability is unable to cooperate with a routine eye exam due to anxiety and involuntary movements. To assess for potential vision-threatening conditions, a limited exam under anesthesia (92019) is performed. , Following trauma to the eye, a patient with significant pain and swelling requires examination under anesthesia (92019) to assess the extent of the injury and rule out a ruptured globe.

Documentation should include the medical necessity for general anesthesia, a detailed description of the examination findings, any manipulation of the globe performed, and any associated diagnoses.

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