AE Articles
Interpretation and Report Requirements for Diagnostic Tests
Issue: March/April 2020
File Type: PDF

Certain diagnostic tests used in ophthalmology include the phrase “with interpretation and report” in their CPT® code description (Table 1). The CPT® diagnostic tests listed in the chart must include a detailed notation in the patient’s medical record to satisfy this “interpretation and report” requirement. A notation such as “visual fields reviewed—OK,” would not suffice.

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About the author
E. Ann Rose, FASOA

(800-720-9667;, is a principal and senior consultant of BSM Consulting. Rose & Associates is a division of BSM Consulting operating in the Duncanville, Texas, office. Rose & Associates is nationally recognized and specializes in Medicare reimbursement and compliance for the specialty of ophthalmology


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