CPT® Code 92019

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

The CPT® Code 92019 refers to an ophthalmological examination and evaluation conducted under general anesthesia, which may include manipulation of the globe to facilitate a diagnostic examination. This procedure is categorized as a limited examination, distinguishing it from more comprehensive evaluations. Prior to the examination, mydriatic eye drops are administered to dilate the pupils, allowing for a clearer view of the internal structures of the eye. An intravenous line is established to facilitate the administration of general anesthesia. Once the pupils are sufficiently dilated, the general anesthetic is given, ensuring the patient is comfortable and still during the examination. The procedure involves a thorough assessment of the anterior segment of the eye, including critical structures such as the cornea, iris, and lens, using an ocular microscope. Additionally, intraocular pressure is measured, and various eye measurements, including eye length, width, 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 examined, and photographs may be captured as necessary to document any findings. It is important to note that this code is specifically for a limited examination under anesthesia, while a complete examination under anesthesia is reported with CPT® Code 92018. Both codes can be used to report bilateral procedures, indicating that the examination may be performed on both eyes.