How Do I Bill a Cpt 92020

To report this test, use CPT 92020, Gonioscopy (separate procedure). CMS defines 92020 as bilateral, so reimbursement is for both eyes.

Does CPT code 92020 need a modifier?

A: All are used in distinct situations. Modifier XE should only be used to describe separate encounters on the same date of service. For example, you do an exam and perform gonioscopy (92020) for a patient with uncontrolled POAG in your office in the morning.

Does Medicare cover 92020?

CPT code 92020 is unique. It describes gonioscopy (separate procedure). … Gonioscopy is defined by the Centers for Medicare & Medicaid Services as bilateral, so reimbursement is for both eyes.