CPT 1012T Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Computerized Ophthalmic Analysis of Monocular Eye Movements Category III Codes |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1012T |
National average reimbursement for CPT 1012T by major payers:
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| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
No data found No fee schedule data available for the selected payer and code combination | ||||||
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CPT 1012T vs. Other Category III Codes Codes
The CPT 1012T code is part of the Computerized Ophthalmic Analysis of Monocular Eye Movements services used for Category III Codes. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 1012T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 1012T-CPT | Moderate | Mtrz Ab Ntrno Trph Scl/Tr Mw, Motorized Ab Interno Trephination Of Sclera (Sclerostomy) Or Trabecular Meshwork (Trabeculostomy) 1 Or More Including Injection Of Antifibrotic Agents When Performed (Do Not Report 1012t In Conjunction With 65800 65815 66020 66030 92020) (For Trabeculotomy Ab Externo Use 65850) (For Trabeculectomy Ab Externo In Absence Of Previous Surgery Use 66170) (For Trabeculectomy Ab Externo With Scarring From Previous Ocular Surgery Or Trauma Including Injection Of Antifibrotic Agents Use 66172) (For Trabeculostomy Ab Interno By Laser Use 0621t) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1012T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1012T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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