Turning Problems into Profits

Insurance Billing for Optometrists

Billing Services for Optometry

Posted by on Jun 4, 2013

OBS was the first billing company in the country dedicated solely to optometry, and we’ve remained the industry leader since our beginnings in 2005. With clinics in over 40 states,...

Read More

Learn More About OBS

About OBS:  Turning Problems into Profits

Posted by on Jun 4, 2013

Optometric Billing Solutions was founded on a mission to help doctors regain financial control over their insurance billing.  Our team of over 100 experienced billing specialists...

Read More

Outsourcing Your Billing

Outsourcing: What You Need to Know

Posted by on Jul 7, 2013

Do you need help with your billing but have concerns about turning it over to an outside company?   You are wise to be cautious!  We get frequent calls from optometrists who have...

Read More

Helpful Resources

Free Resources: Route Slip, Posters, Forms, Training Videos, etc.

Posted by on Oct 16, 2017

  Over the years OBS has developed resources and training tools for our clinics and are happy to share some of them here with our compliments to the optometric community.    ...

Read More

Recent Posts

2020 Route Slip

We recently updated our ICD-10 route slip to reflect the new 2020 changes in ophthalmoscopy and cataract surgery codes (see below). The route slip is free for anyone to download who wants a paper backup to use at their office for those times when their software may go down.  If you are an OBS client, and would like a copy of the route slip to customize for your office, call Mary at 877.727.3695 and she can send you an editable version in Excel.

Click here to download:  Revised 2020 Route Slip

DISCLAIMER:  Please be aware that this is an abridged document not intended to replace a standardized coding manual with complete references and annotations.   Optometric Billing Solutions has made a good faith effort to review the contents for accuracy, but it is up to doctors and office to review all codes for completeness and correctness.  However, if you do find an error we missed, please email Mary at mary@obsTeam.com and she’ll be happy to review and correct the error and get an updated version posted!

Important Coding Changes for 2020

There have been some important coding changes for 2020.


First of all, CPT codes 92225 and 92226 for extended ophthalmoscopy were deleted as of January 1, 2020. We now have two new codes based upon what area of the retina was examined and documented. (Ophthalmoscopy is no longer reported as initial and subsequent testing.) Use 92201 for examination of the retinal periphery or 92202 for the optic nerve and macula. Another important change for extended ophthalmoscopy is billing. These codes are now considered bilateral and are billed on one line with one reimbursement. (The old codes were billed per eye.) This, of course, is going to impact our doctors’ reimbursements.


Additionally, starting January 1, 2020, two new codes were added for cataract surgeries: 66987 and 66988. These codes are used when two surgeries are done together to treat both cataracts and glaucoma. The surgeon first performs traditional cataract surgery with IOL insertion and then performs a laser surgery called ECP (Endoscopic Cyclophotocoagulation) for patients with uncontrolled glaucoma to reduce their intraocular pressures. CPT 66987 is for complex cataract surgery with ECP, and CPT 66988 is for basic cataract surgery with ECP. Also, the description for existing cataract surgery codes 66982 and 66984 have now been revised to read “without endoscopic cyclophotocoagulation.” We may start to see some of these new cataract surgery codes as we bill co-manages in the coming months.