Coding: Refraction: 92015

A nuanced understanding of medical necessity, payor policy, and documentation standardsis required

By: Tonya M. Reynoldson, OD, MBA

Optometric Management September 2, 2025 Vol 60(7), Issue September 2025

5 Key Takeaways

1

CPT 92015 is frequently misunderstood, requiring a nuanced understanding of medical necessity and payor policy.
2

Optometrists can bill 92015 when specific criteria are met, ensuring compliance and revenue integrity.
3

Common pitfalls in billing 92015 can lead to claim denials, highlighting the need for proper documentation.
4

Implementing best practices for billing 92015 is essential for reducing claim denials and maintaining clinic revenue.
5

Understanding ethical and efficient charging for refraction is crucial for successful optometric practice management.

Tonya M. Reynoldson

Bio: Tonya M. Reynoldson, OD, MBA, is an optometrist who writes about billing and coding for Optometric Management. Her article in the January-February 2026 issue focuses on common billing and coding errors in optometric practice, including revised evaluation and management guidelines, medical decision making, payer scrutiny, and documentation pitfalls.

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Optometric Management

Coding: Refraction: 92015

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