Snellen eye exam

What codes can I use when a PCP does an eye exam by using the Snellen Chart as part of the office visit?

eye exam

99173 Screening test of visual acuity, quantitative, bilateral - (The screening test used must employ graduated visual acuity stimuli that allow a quantitative estimate of visual acuity [eg, Snellen chart]. Other identifiable services unrelated to this screening test provided at the same time may be reported separately [eg, preventive medicine services]. When acuity is measured as part of a general ophthalmological service or of an E/M service of the eye, it is a diagnostic examination and not a screening test.). CPT 99173, is intended to be used primarily in the pediatric age group (birth through age 17) and is a screening test of visual acuity only.
Note: Most Insurers consider codes 99172 and 99173 to be included in (and not separately reimbursed from) Preventive Medicine services, problem-oriented E/M services, and ophthalmology E/M services. Check each payers policy.

Warning- personal commentary

Wonder why there is a health care crisis and loss of confidence in the medical profession? Perhaps because some doctors try to charge for such simple things like a Snellen acuity test. What is next? An extra charge for each vital sign taken?

Snellen Eye exam

99173

Search in the search box for visual acuity -- t here's an article.

CPT clarified in 2009 that it is a separate service, should be paid separately. Many payers won't pay it separately.

Snellen

99173: According to 2009 CPT code 99173 can be used to report a visual screening such as a Snellen chart.

Snellen

Yes, the AMA added editorial comment in 2009 to support clinicians in billing for this with well visits. It is true that it is a small service, comparatively, but some groups do it a lot of times, and the reimbursement can add up, if you can get your insurers to pay it.