VSP VisionTM is committed to supporting you in helping your patients reach their best health outcomes. Recording diabetic eye exam findings underlines the importance of annual eye exams as a component of diabetes management.
In December 2022, a reference sheet of Current Procedural Terminology (CPT®) Category II codes for recording diabetic eye exam findings was mailed to all VSP® network practices to use as an easy reference when submitting claims to VSP.
Recording diabetic eye exam findings using CPT Category II codes when submitting claims provides the quality-of-care information required for the Healthcare Effectiveness Data and Information Set (HEDIS®) – Eye Exam for Patients with Diabetes performance measure and Centers for Medicare & Medicaid Services (CMS) Star Rating program. It also helps ease the administrative burden on your staff of patient pulling chart notes when requested by healthcare organizations.
Download and print the full reference sheet from vspeyeondiabetes.com or visit the VSP Provider Reference Manual on VSPOnline at eyefinity.com for more detailed information about recording diabetic eye exam findings.
1. Centers for Disease Control and Prevention, December 2021.