Section 418.10208. Vision services.

(1) A medical diagnostic eye evaluation by a practitioner is an integral part of all vision services.

(2)     Intermediate and comprehensive ophthalmological services include medical diagnostic eye evaluation and services, such as slit lamp examination, keratometry, ophthalmoscopy, retinoscopy, determination of refractive state, tonometry, or motor evaluation. These procedures shall not be billed in conjunction with procedure codes 92002, 92004, 92012, and 92014.

(3)    Only an ophthalmologist or a doctor of optometry shall use procedure codes 92002, 92004, 92012, and 92014.

(4)  A doctor of optometry shall use procedure codes 92002-92287 to describe services.

(5)    An employer is not required to reimburse or cause to be reimbursed charges for an optometric service unless that service is included in the definition of practice of optometry under section 17401 of the Michigan Public Health Code, Act 368 of 1978, as amended, being § 333.17401 of the Michigan compiled laws,  as of May 20, 1992.

(6)     Suppliers  of   vision  and  prosthetic  optical   procedures  shall  use   the  appropriate procedure code V0000-V2999 listed in Medicare's National Level II

Codes as referenced in 418.10107 (2) to describe services provided.

(7)   Payment shall be made for the following vision CPT codes: $50.00 for  V2744, V2750, and V2760; $25.00 for V2715; and $160.00 for V2020.

History: 1998-2000 AACS; 2012 AACS.