AURORA EYE PHYSICIANS / BURCHAM EYECARE

AURORA EYE PHYSICIANS / BURCHAM EYECARE

AURORA EYE PHYSICIANS / BURCHAM EYECARE
750 Potomac St., Suite 223
. Aurora, CO . (303) 340-4600
DR. RUSSELL BURCHAM
OPTOMETRIST
EXAM CODES
8t}l99202
138.00
99217
99213
99211
E/M9920
118.00
99).\5
E/M99205 t12.00
EtM99204 162.00
r
Est/10
130.00
Est low/1-5
I 35.00
Opht Est Comp
Ophr Est Comp Hi
140.00
92002 Opht Init Int
92004 OphtlnitComp
92012 OphtEstlnt
92014 OphtEstComp
190.00
140.00
CONTACT LENS Reflt / Replacement
195.00
CL Finins
130.00
185.00
DIAGNOSTIC TESTING
92083
92025
I5
92t32
Fields Erpan-Inter 135.00
Corneal Topography 76.00
920
Refraction
35.00
oCT
141.00
92285 Photo
76.00 '76514
92136 IOL Master OD/OS 214.00
Pachymetry
10061
68810
65855
65760
67901
11412
68840
68820
65420
66985
67312
61335
66821
76.00
SURGERY/PROCEDURE
67036
AnteriorVitrectomv
67921
67820
AK Surg OD/OS
15823
66984
66982
67801
67800
Blepharoplasty
Cataract Extracap OD/OS
Cataract Comp Surg
Chal Excis Multi
Chal E{cis Single
Clear Lens Ertraction OD/OS
Diagnosrs
J
J
J
J
1440
1
1441
65210
6520-s
65222
10060
Forei Bodl Conj Embed
Forei Bodl ConjtSuper
Forei Bodl Comeal
I & D Cl st Lesion
I &D CystMultiLesion
Insert Perm Plug
SLr
PRK/LASIK/OU/OS/OD
Levator OD/OS
Lid Lesion removal
WO Graft
Secondarylmplant
Strabis S x 2Muscie
Pterygium
Strasb x 2Adj Sut
Yag Laser Capsu OD/OS
ProbingCanaliculus
Probing Nasolac Duct
R.L.O
Hyper
H51.0
J
Corneal Scar
H r7.9
E GL Narrow Angle
H40.03
tr RD Old
ir{1 opia
H52.1
I
Ksicca
Hl6.229
fl
Steroid-Induced GL
H40.6
Asti-smatism
H51.3
E Sjogren's Syndrome
N,t35.00
t
Presbl opra
H51..1
E Dry Eye Syndrome
H0.+. r 2
J
GL Suspect-N Angle
H40.04
GL Suspect Open-Ang1e H40.00
E Pseudo Tumor
E Retinal Detachment Single
051.10
D
Hyphema-Traumatic
505.1
Herpes Zoster
B05 3.29
J
H20.01
Keratoconus
H18.61
I
Pingueculum
H11.15
J
-l
Iritis-Primary
Iritis-Recurrent
Iritis-Chronic
Svnechiae Posterior
H21.54
Ll Emmetropia
D Ambll opra Ref
tr Ambl1'opia
J
J
J
ICD-10
1
Entrop Repair Suture
Epilation Forceps
Ercise Lesion 0.5cm Lid
Ercise Lesion 0.6cm Lid
Strab
Blurred Visron
201 .00
H-53.02
H-i_r.03
H_i_1.8
J
Conjunctival Hemonhase H11.3
Contusion Ereball
s05 .1
Diplopia
H_i3.1
J
Dizziness
Rll
J
Headache
!
fl
fl
Migraine s Aura
Migraine rv Aura
Photophobia
fl
fl
fl
fl
Herpes Simplex
D Pterygium
H11.0.+
fl
H l 8.83
Recurrent Erosion
H20.02
H20.1
U OptNeuritis IschemicAION H47.01
H16.01
E Optic Atrophy-Partial }{41 .29
H16.0.+
G-++.119
D Corneal Ulcer Central
fl Corneal Ulcer Marginal
3 Eplsleritis Nodular
G-l-:.009
J
Episcleritis Periodica
H15.11
Newe
O Optic Neuritis
fl Pituitary Neoplasm Benign
G+-:.109
J
J
J
J
J
J
Blepharitis
H0 t .00
Dermatochalasis
H02.83
Chalazion
H00.1
Asthenopia H5-:.11
D Visual Loss Sudden
H5 -1 .1-1
fl Aphakia. Acquired
Ht7 0
Ll Secondarr Cat Obscure \rision Hl6.-19
ECat-Nuclear-Congenital Q12.0
E Cataract Incipient
H25.09
E Cat-Senile Cort
H25.01
E Cat-Senile Nuclear SclerosisH25.l
E CarSenile-PSC
H25.04
E Conjunctivitis Acute
H10.i
E Conjunctivitis Chronic H10.41
E Conjunctivitis Bact
H10.23
E Conjunctivitis Vernal H10.4.+
E Conjunctivitis Viral
B 30.9
fl
fl
H15.12
fl
Drusen Optic
JDMTIIS
J DN.{ TI s Complicatron
J D]VI II WDBR
H33.8
G93.2
Break H33.20
tr Retinal Detachment Serous H33.20
E Retinal Horseshoe Tear s Detach H33.3 1
E Retinal Round Hole s Detach H33.32
E Viteous Detach/Degen H43.81
E Vitreous Hemorrhage H43.1
Floater
Detachment
tr Retinitis Pigmentosa
E Vitreous
H43.399
E RPE
H35.72
H35.52
H41 .32
E Bel1's Palsy
G51 .0
H46.0
H49.0
E11.9
tr 3rd CN Palsy
tr 4th CN Palsy
tr 6th CN Palsy
E10.9
D Esophoria
H50.51
E10.321
H50.01
H35.89
Monocular
Esotrophia Alternating
Exotropia Monocular
Exotropia Alternating
D Hypertropia
D35.2
E
E
E
E
Esotropia
H49.1
H19.2
Ectropion-Senile
HOl.13
\lild -ll\Iod J3Severe
\ler.nbrane H35.37
J Retinal Hemorrllase H35.6
J
J
J
Enrropion-Senrle
H01 03
J
Epiphora
HOJ,]]
-J Lanice Degen
H35.41
tr Thyroid Ophthalmopathy E05.00
Lacnmal Duct Stenorr
H0l.-i5
J
J
La.-rimal Pun.aum E\ er!iLrn H0-1._il
Hordeoium Ertemum
J
Hordeolum Inleraun.r
D VF Defect Arcuate/Sector
D VF Defect Central/Para
E VF Defect Homonymous
trVisualFieldDelectConstdct
E Colorbind
H02.81
-J I
Demrariri-s .\cne Rosacea
t,71.9
-l
Epiretrnal
Retinal Erudates
C1 st Sebaceous
Evelid
AR,\ID DrY
ARMD Wet
H35.31
H00.01
J
J
Asteroid Hyalosis
H00.01
J
Histo/POHS
}j+3.2
839.9
E Lid Rerraction
E Lagophthalnros
H0l.-53
J
Central Serous C Retlnop H35.71
H0t.tl
c+-+.1
I
I
Chorioretinal Scar Unspec H31 .00
fl
Chorioretinal Scar Post Pole H3 I .01
[J Mydriasis
tr Phthisis Bulbi
J
J
Cotton Wool Spots
H35.81
tr High-Risk
H59.03
ERheumatoidArthritis
Neoplasm
\lalis Erelid
-.J
H3s.32
Med,
H50.05
H50.11
H50.i5
H50.2
H53.43
H53..+1
H53.46
H53.48
H53.51
H57.04
H52.52
Conjunctival Concretions H11.12
Conjunctival Cyst
H11.,t4
E Conjunctival Edema
Hll.42
D Foreign Body Conjunctiva Tl5.l
D Corneal Abrasion
s05.0
I
Ptosis
HOl.l I
fl
Macular Drusen
H35.36
fl
J
J
Trichiasis Senile
H01.03
E Macuiar Hole/Cyst
H35.34
E Scleroderma
Trichiasis s Entropion
H0r.05
fl
D31.3
E Stroke
163.9
E Foreign Body-Cornea T15.0
E Fuch's-Guttata
H18.-s
E Keratitis
800.52
! Low Tension Glaucoma
:l Ocular Hypeftension
I Primary OA Glaucoma
HrO.1l
D BRAO
}{34.23
E Pseuophakia
296.t
H10.05
il
H3zl.83
H-10.1r
B Ret Hole
1
O Neoplasm Benign Lid
fl
Secondary
Insurance
Co-Pavment
D13.1
War Viral. Other Soe.-ihed 807.8
Description
l.asik Consult
(vealp)ou
PBrOp
Cash Check#
Routine
Auth#
Glasses Check
Routine/Contact
CL Fitting/CL Recheck
Cystoid Mac
Edema
Choroidal Nevus
BRVO
Patient Name
Rx Y/N
Doctors Notes:
H33.329
Systemic Lupus
279.899
M06.9
L93.0
M34.9