New CPT Codes Effective January 1, 2021
This section lists the new eyecare-related CPT codes that are effective January 1, 2021. Some of the codes may apply to rare procedures, but are provided here for reference.
| Description | New Code | Notes |
|---|---|---|
| Retinal imaging with automated point-of-care | 92229 | |
| Dilated retinal exam with evidence of retinopathy | 2022F |
These codes are technically not new. They are being restored after being replaced in 2020. |
| 7 Standard fld retinal photo with evidence of retinopathy | 2024F | |
| Eye img valid match dx 7 stnd fld with evidence of retinopathy | 2026F | |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious or complex chronic condition | G2211 |
New effective date is January 1, 2024. See note below. To be used in conjunction with 99205–99215 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact | G2212 | To be used in conjunction with 99205–99215 |
The Coronavirus Response and Relief Supplemental Appropriations Act, passed by Congress and signed by the President, delays the implementation of the G2211 code. Insurance carriers will ignore or reject the G2211 code on claims with service dates prior to January 1, 2024. To avoid claim rejections, do not include G2211 on your claims.