G8397 Dil macula/fundus examination/w doc
Also known as: dilated eye exam, fundus exam documented, ophthalmic exam
Documentation indicator for dilated macula and fundus examination performed with documented findings in ophthalmology or optometry visit.
In Plain Language
Thorough eye exam with dilated pupils; Retinal examination performed
Clinical Context
Used to document comprehensive dilated ophthalmologic examination for assessment of retinal and macular diseases.
RVU Information
CPT G8397 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G8397?
CPT G8397 (Dil macula/fundus examination/w doc) is a G Codes code. Documentation indicator for dilated macula and fundus examination performed with documented findings in ophthalmology or optometry visit.
Who uses CPT code G8397?
CPT G8397 is used by Ophthalmology, Optometry, Primary Care. Used to document comprehensive dilated ophthalmologic examination for assessment of retinal and macular diseases.
When is CPT G8397 used?
Used to document comprehensive dilated ophthalmologic examination for assessment of retinal and macular diseases.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.