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Primary Care Physicians & Eye Care CPT Cat II Codes

Hello Coding Experts–

Can a primary care physician, i.e., family practice, submit the following CPT Cat II codes to close HEDIS gaps in care if they receive an eye exam report for their diabetic patients (from an eye care professional), review the report and place it in the patients’ medical record?

2022F: Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed
2024F: 7 standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed
2026F: Eye imaging validated to match diagnosis from 7 standard field stereoscopic photo results documented and reviewed
3072F: Low risk for retinopathy (no evidence of retinopathy in the prior year)

Thanks for reviewing this!

Yvette Peak

Medical Billing and Coding Forum