LOINCActiveBoth

LOINC Code 78657-4: Ophthalmology procedure note

78657-4 is a LOINC code used to identify Ophthalmology procedure note in laboratory and clinical observation data. You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges. LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Procedure note. It is commonly used with the system or sample type {Setting}.

Reviewed by HealthAssure Clinical TeamUpdated 21 May 2026

What is this code?

LOINC codes identify tests, measurements, observations, survey items, and clinical questions in a standardized way. It is associated with the component Procedure note. It is commonly used with the system or sample type {Setting}.

When is it used?

  • Used in lab systems, EHRs, and clinical data exchange.
  • May identify a test, observation, survey item, or clinical document request rather than a diagnosis.
  • Status: ACTIVE
  • Order vs observation: Both
  • Method: Ophthalmology

What it does not mean

  • The code identifies the observation or test, not the actual result.

Key facts

  • Ophthalmology procedure note
  • Procedure note
  • DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Eye; Eye care; Finding; Findings; notes; Ophthalmology; Ophtho; Ophthy; Point in time; Random; Visit note

Where you may see this code

You may see this code in lab systems, lab reports, EHR exports, interoperability feeds, or other structured clinical data exchanges.

Common synonyms

Ophthalmology procedure noteOphthalmol Procedure noteProcedure noteDOC.ONTOLOGYFindPt{Setting}

Frequently asked questions

Code details

Code78657-4
SystemLOINC
Display nameOphthalmology procedure note
DescriptionProcedure note
Short nameOphthalmol Procedure note
ComponentProcedure note
PropertyFind
TimingPt
System (specimen){Setting}
ScaleDoc
MethodOphthalmology
ClassDOC.ONTOLOGY
StatusACTIVE
Order/ObservationBoth

Flags

BillableNo
Valid clinical useNo

Source

SourceLOINC
Version2.82
Releasemain
First released2.58
Last changed2.58

Part names

Procedure noteFindPt{Setting}DocOphthalmologyProcedureNoteFindingPoint in time (spot)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from LOINC. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

LOINC Code 78657-4 | HealthAssure