CPT Code Updates

Periodically, the American Medical Association (AMA) makes minor changes to the Current Procedural Terminology (CTP) code set. Depending on the codes updated, changes are effective either October 1 of the preceding year or January 1 of the following year. In some cases, the AMA adds new codes and retires others. In other cases, only the description associated with the code is changed.

The updated codes apply only to claims with a service date on or after the CPT code change effective date. Claims with an earlier service date will continue to use the prior codes. Billers should familiarize themselves with the changes and verify that the correct codes are appearing on claims.

This page includes the following topics:

Eyecare-related CPT Code Updates

This section includes current and historical CPT code update information:

For more information about CPT code updates, go to the AMA website.

Will Your Eyefinity Software be Ready?

Eyefinity products and services are ready to support CPT code changes each January 1. Expand the text below to see what you can expect from your Eyefinity product each year.

Eyefinity.com eClaim users will automatically see the new or updated CPT codes on the website on January 1 of each year in which code changes are effective. Providers should submit open claims prior to December 31 each year in which code changes are effective to prevent sending invalid CPT codes to billing.

Eyefinity EHR users will automatically see the new or updated CPT codes in their software on January 1 of each year in which code changes are effective. Providers should finalize open exams prior to December 31 each year in which code changes are effective to prevent sending invalid CPT codes to billing.

Eyefinity Practice Management users will automatically see the new or updated CPT codes in their software on January 1 of each year in which code changes are effective. Activate the CPT codes that you use in your practice prior to adding them to orders. Providers should submit open claims prior to December 31 each year in which code changes are effective to prevent sending invalid CPT codes to billing.

OfficeMate/ExamWRITER users should update their procedure codes and update their services each year.

Providers should finalize open exams by December 31 each year to reduce the risk of sending invalid CPT codes to billing in the following year.

AcuityLogic Cloud users will automatically see the new or updated CPT codes in their software on January 1 of each year in which code changes are effective. The new or updated CPT codes will be mapped to new exams automatically, if necessary. To use the new exams, map and price the new exams prior to adding the exams to orders. Providers should submit open claims prior to December 31 each year in which code changes are effective to prevent sending invalid CPT codes to billing.

AcuityLogic On-Premises users should add and modify CPT codes and map the codes to new or existing exams prior to adding the exams to orders. If you create new exams with the new or updated CPT codes, map and price the new exams prior to adding the exams to orders. Providers should submit open claims prior to December 31 each year in which code changes are effective to prevent sending invalid CPT codes to billing.

AcuityLogic Pearle users will automatically see the new or updated CPT codes in their software on January 1 of each year in which code changes are effective. The Pearle SAP integration will create any necessary exams that need to be mapped to CPT codes and assign prices to the exams. Map the exams to your company (and update the prices, if needed) in the Other Items Mapping window prior to adding the exams to orders. For more information, review the information about setting up other items in the AcuityLogic Pearle Admin User's Guide, which is available in the Pearle Community. Providers should submit open claims prior to December 31 each year in which code changes are effective to prevent sending invalid CPT codes to billing.