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2025 CPT code 99177

Instrument-based bilateral ocular screening (e.g., photoscreening, automated refraction) with on-site analysis.

Follow all applicable CPT coding guidelines.Accurate documentation is crucial for appropriate reimbursement.

Modifiers may be applicable depending on the circumstances of service. Consult the AMA CPT manual for current modifier guidelines.

Medical necessity is established based on the patient's age, risk factors for vision impairment, or presence of symptoms suggestive of ocular disease.Screening may be medically necessary for early detection and timely intervention.

The provider performs refractive tests and other ocular screening tests on both eyes to assess the patient's vision, identify any ocular disease, and determine the need for corrective lenses or adjustments to existing prescriptions.

IMPORTANT Do not use 99177 with codes 92002-92014, 99172, 99173, or 99174.For retinal polarization scans, use 0469T instead.

In simple words: This code means the doctor used special tools to check your vision in both eyes and figured out the results right away in the office.

This CPT code, 99177, encompasses instrument-based ocular screening of both eyes, utilizing methods such as photoscreening or automated refraction.The key feature is that the analysis of the screening results occurs on-site, immediately following the screening procedure.This distinguishes it from code 99174, where the analysis is performed remotely.

Example 1: A pediatrician uses automated refraction to screen a 3-year-old for amblyopia during a well-child visit. The results are analyzed on-site, and the doctor discusses the findings with the parents., An optometrist uses a photoscreener in a community health fair to screen adults for vision problems.Any abnormal results are immediately reviewed on-site, and patients are given appropriate advice or referrals., An ophthalmologist performs a comprehensive eye exam on a new patient.As part of the exam, automated refraction is used, and the on-site analysis guides the further steps in the examination.

Detailed notes on the screening method used (e.g., photoscreening, automated refraction), results of the screening, on-site analysis findings, and any referrals or recommendations made.Patient demographics and encounter details are also necessary.

** This code is specifically for on-site analysis.If analysis is performed remotely, use CPT code 99174 instead.

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