Routine ophthalmological examination including refraction; established patient
HCPCS code
Name of the Procedure:
Routine Ophthalmological Examination Including Refraction; Established Patient (HCPCS S0621)
- Common Name: Eye Exam, Vision Test
- Medical Term: Comprehensive Ophthalmic Examination
Summary
A routine ophthalmological exam is a comprehensive check-up of your eyes and vision. It includes assessing vision sharpness and a detailed look at the health of your eyes. For established patients, this also includes refraction to determine any prescription for lenses.
Purpose
The procedure helps diagnose and manage eye diseases and vision problems. The goal is to maintain good eye health and update any changing vision needs.
Indications
- Blurred or decreased vision
- Regular check-up for existing eye conditions (e.g., glaucoma, cataracts)
- Monitoring vision for patients with chronic conditions like diabetes
- Updating lens prescription for glasses/contact lenses
Preparation
- No special fasting or medication adjustments required.
- Bring current glasses or contact lenses and any relevant medical history.
- You may need to avoid wearing eye makeup.
Procedure Description
- Visual Acuity Test: You’ll read letters on a chart to measure sharpness of vision.
- Refraction Test: Different lenses are placed in front of your eyes to determine the best prescription.
- Eye Health Check: A slit lamp and ophthalmoscope are used to examine the front of the eye and the retina.
Tonometry: Measures the pressure inside your eye to screen for glaucoma.
No anesthesia is needed for this non-invasive procedure.
Duration
Typically, the procedure takes about 30-45 minutes.
Setting
It is usually performed in an outpatient clinic or optometrist/ophthalmologist’s office.
Personnel
Mainly conducted by an optometrist or ophthalmologist. An ophthalmic assistant may also help.
Risks and Complications
The risks are minimal.
Rarely, temporary blurred vision or discomfort from eye drops.
Benefits
- Clearer vision with updated prescription.
- Early detection of eye conditions.
- Better management of existing eye health issues.
Recovery
No recovery time needed. You can resume regular activities immediately. If dilating drops are used, there may be temporary sensitivity to light.
Alternatives
- Basic vision screenings at a general healthcare provider’s office.
- Specialized eye examinations for specific conditions.
Patient Experience
You may experience some discomfort from bright lights or eye drops. Any temporary blurriness after the procedure should resolve quickly.