Identifying CPT Category II Codes for VSP
VSP requires the following Category II CPT codes for HEDIS reporting from some providers.
|
Description |
With Evidence of Retinopathy |
Without Evidence of Retinopathy |
|---|---|---|
|
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
2022F |
2023F |
|
Seven standard field stereoscopic photos with interpretation by an ophthalmologist documented and reviewed |
2024F |
2025F |
|
Eye imaging validated to match diagnosis from seven standard field stereoscopic photosresults documented and reviewed |
2026F |
2033F |
|
Low risk for retinopathy (no evidence of retinopathy in the prior year) |
— |
3072F* |
* No evidence or retinopathy within the last year.