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Understand Basics of Optometry E/M Coding

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Typically, eye care practitioners don’t use the E/M codes for what most optometrists consider a general eye examination. They are more typically used for patient encounters where the patient presents with a medical complaint or a continuation of medical case management (i.e., glaucoma, allergy, dry eye). The five levels of E/M codes are universally applicable for all manner of disease, yet they are more complicated to apply and require more than one page of chart documentation for a comprehensive examination. So, what’s Optometry E/M Coding? The acronym ‘E/M’ stands for ‘evaluation and management’. An E/M code consists of five digits. The leading four digits are ‘9920’ for new patients and ‘9921’ for established patients. The fifth digit of the E/M code can range from level ‘1’ to level ‘5’, which directly translates to the level of reimbursement from the insurance. This means the higher the level, the higher the reimbursement. To know more visit us: or email us at- » or call us at- 888-357-3226 (Eight-Eight-Eight-Three-Five-Seven-Three-Two-Two-Six).


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