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November 14, 2012

Ophthalmic Biometry (CPT Codes 76519 and 92136): Valid Places of Service

Effective immediately, CGS will allow ophthalmic biometry only in the following places of service:

  • 11 (office)
  • 21 (inpatient hospital) - NOTE: Only the interpretation is payable in this place of service
  • 22 (outpatient hospital) - NOTE: Only the interpretation is payable in this place of service
  • 24 (ambulatory surgical center)
  • 49 (independent clinic)

This change applies to the following CPT codes:

  • CPT code 76519: ophthalmic biometry by ultrasound echography, A-scan with intraocular lens power calculation
  • CPT code 92136: ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation

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