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S3000 Bilateral dil retinal examination

S Codes

Also known as: dilated eye exam, comprehensive dilated retinal exam

Comprehensive bilateral dilated retinal examination with documentation of optic disc, macula, and peripheral retina assessment.

In Plain Language

eye exam to look at back of eye; dilated eye evaluation

Clinical Context

Used in ophthalmology and optometry for screening and diagnosis of retinal pathology including diabetic retinopathy, macular degeneration, and retinal detachment.

RVU Information

CPT S3000 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.

Specialties

OphthalmologyOptometryPrimary Care

Frequently Asked Questions

What is CPT code S3000?

CPT S3000 (Bilateral dil retinal examination) is a S Codes code. Comprehensive bilateral dilated retinal examination with documentation of optic disc, macula, and peripheral retina assessment.

Is S3000 covered by insurance?

S3000 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in ophthalmology and optometry for screening and diagnosis of retinal pathology including diabetic retinopathy, macular degeneration, and retinal detachment.

When is CPT S3000 used?

Used in ophthalmology and optometry for screening and diagnosis of retinal pathology including diabetic retinopathy, macular degeneration, and retinal detachment.

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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.