OPHTHALMIC CODING SPECIALIST EXAM NEWEST
2025 ACTUAL EXAM| COMPLETE 100 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| OPHTHALMIC CODING
SPECIALIST EXAM REVIEW (MOST RECENT!!)
1. A patient undergoes removal of a corneal foreign body
with a slit lamp. What is the correct CPT code?
a) 65220
b) 65222
c) 65205
d) 65210
Answer: b) 65222
Rationale: CPT 65222 is used for removal of a foreign body
from the cornea using a slit lamp. Code 65220 is for removal
from the external eye without a slit lamp .
1
,2. A patient has senile epilation performed on all four eyelids.
How should this be reported for Medicare?
a) 67820 with modifier 50 and quantity 1
b) 67820-RT and 67820-LT
c) 67820 with modifiers E1, E2, E3, E4
d) 67820 with modifier 51
Answer: a) 67820 with modifier 50 and quantity 1
Rationale: For Medicare billing, epilation (67820) is reported on
a single line using modifier 50 to indicate a bilateral procedure,
with a quantity of 1 .
3. Which CPT code is used for extended ophthalmoscopy?
a) 92002
b) 92014
c) 92225
d) 92133
Answer: c) 92225
2
,Rationale: CPT 92225 is inherently bilateral and represents
extended ophthalmoscopy. Payers assume both eyes were
examined when this code is billed .
4. A patient undergoes closure of the lacrimal punctum by
plug on both eyes in the same session. For a commercial
payer that does not recognize modifier 50, how should this be
billed?
a) 68761-50
b) 68761-RT and 68761-LT on two separate lines
c) 68761 with no modifier
d) 68761 with modifier 51
Answer: b) 68761-RT and 68761-LT on two separate lines
Rationale: For CPT 68761 (punctal plug insertion), when
performed bilaterally and the payer does not recognize
modifier 50, use RT/LT modifiers on two separate lines. Each line
should have one unit .
3
, 5. A YAG capsulotomy is performed on the left eye on the
same day as cataract surgery on the right eye. What
modifier(s) should be appended to the YAG code?
a) 59, LT
b) 79, LT
c) LT only
d) 59, XS, LT
Answer: a) 59, LT
Rationale: YAG capsulotomy and cataract surgery are bundled
according to CCI edits. Since they were performed on different
eyes, modifier 59 (distinct procedural service) and LT must be
appended. Modifier XS is not recognized by commercial
payers .
6. What is the correct CPT code for OCT angiography?
a) 92132
b) 92133
4
2025 ACTUAL EXAM| COMPLETE 100 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| OPHTHALMIC CODING
SPECIALIST EXAM REVIEW (MOST RECENT!!)
1. A patient undergoes removal of a corneal foreign body
with a slit lamp. What is the correct CPT code?
a) 65220
b) 65222
c) 65205
d) 65210
Answer: b) 65222
Rationale: CPT 65222 is used for removal of a foreign body
from the cornea using a slit lamp. Code 65220 is for removal
from the external eye without a slit lamp .
1
,2. A patient has senile epilation performed on all four eyelids.
How should this be reported for Medicare?
a) 67820 with modifier 50 and quantity 1
b) 67820-RT and 67820-LT
c) 67820 with modifiers E1, E2, E3, E4
d) 67820 with modifier 51
Answer: a) 67820 with modifier 50 and quantity 1
Rationale: For Medicare billing, epilation (67820) is reported on
a single line using modifier 50 to indicate a bilateral procedure,
with a quantity of 1 .
3. Which CPT code is used for extended ophthalmoscopy?
a) 92002
b) 92014
c) 92225
d) 92133
Answer: c) 92225
2
,Rationale: CPT 92225 is inherently bilateral and represents
extended ophthalmoscopy. Payers assume both eyes were
examined when this code is billed .
4. A patient undergoes closure of the lacrimal punctum by
plug on both eyes in the same session. For a commercial
payer that does not recognize modifier 50, how should this be
billed?
a) 68761-50
b) 68761-RT and 68761-LT on two separate lines
c) 68761 with no modifier
d) 68761 with modifier 51
Answer: b) 68761-RT and 68761-LT on two separate lines
Rationale: For CPT 68761 (punctal plug insertion), when
performed bilaterally and the payer does not recognize
modifier 50, use RT/LT modifiers on two separate lines. Each line
should have one unit .
3
, 5. A YAG capsulotomy is performed on the left eye on the
same day as cataract surgery on the right eye. What
modifier(s) should be appended to the YAG code?
a) 59, LT
b) 79, LT
c) LT only
d) 59, XS, LT
Answer: a) 59, LT
Rationale: YAG capsulotomy and cataract surgery are bundled
according to CCI edits. Since they were performed on different
eyes, modifier 59 (distinct procedural service) and LT must be
appended. Modifier XS is not recognized by commercial
payers .
6. What is the correct CPT code for OCT angiography?
a) 92132
b) 92133
4
