CPT® Code 92018

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; complete

The CPT® Code 92018 refers to a comprehensive ophthalmological examination and evaluation conducted under general anesthesia. This procedure may involve manipulation of the globe to facilitate a thorough diagnostic examination. Prior to the administration of general anesthesia, mydriatic eye drops are utilized to dilate the pupils, allowing for a more detailed assessment of the eye's internal structures. An intravenous line is established to ensure the safe delivery of anesthesia. Once the pupils are sufficiently dilated, general anesthesia is administered, enabling the physician to perform a complete examination without patient discomfort. The examination encompasses the anterior segment of the eye, which includes critical structures such as the cornea, iris, and lens. Additionally, intraocular pressure is measured, and various eye measurements, including the length and width of the eye and corneal thickness, are taken. Refraction may also be performed to ascertain the appropriate eyeglass prescription. The posterior segment of the eye, which includes the retina, optic disc, and optic nerve, is thoroughly examined, and photographs may be captured as necessary to document any findings. It is important to note that CPT® Code 92018 is designated for a complete examination under anesthesia, while CPT® Code 92019 is used for a limited examination. Both codes can be reported for bilateral procedures, ensuring comprehensive documentation and billing for the services rendered.