2021 CPT Code Updates

The American Medical Association (AMA) is making minor changes to the CPT code set. In some cases, AMA added new codes and retired others. In other cases, only the description associated with the code changed. Eyefinity software and platforms are prepared to transition to the new codes.

The updated codes apply only to claims with a service date on or after the CPT code change effective date—January 1. 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.

Eyefinity has identified 10 CPT code changes that apply to eyecare.

This section includes:

Additionally, providers and billers should familiarize themseleves with the 2021 E/M coding updates. For more information, go to Understanding the 2021 Evaluation and Management (E/M) Changes.

To avoid a disruption in billing, it’s important that you finalize any outstanding visits in your EHR software by end of day on December 31. For more information on finalizing exams, refer to the following topics:

Note that you can finalize individual exams or batch finalize multiple exams.