CPT ® 92250, Under Ophthalmoscopy Procedures The Current Procedural Terminology (CPT ® ) code 92250 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmoscopy Procedures.

2004年8月3日 · A: The CPT codes descriptor doesn't explicitly say whether 92250 is inherently unilateral or bilateral. According to Medicare's Physician Fee Schedule however it's a bilateral procedure. CMS values 92250 at 2.19 RVUs which multiplied by the current conversion factor of 37.3374 yields an allowance of $81.76.

2018年3月12日 · Avoid 92250 With SCODI Unless Warranted One service you probably can't regularly report with fundus photography is SCODI. This service, reported with 92133 (Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve) and 92134 (... retina), is considered by the ...

2014年6月9日 · Code 92250 is bundled into 92240, as 92240 is seen as the more extensive procedure. Additionally, CPT® code 92227 (Remote imaging for detection of retinal disease [e.g., retinopathy in a patient with diabetes] with analysis and report under physician supervision, unilateral or bilateral) is bundled into 92250. Code 92227 describes remote ...

2011年6月26日 · However, there are a limited number of clinical conditions where both techniques are medically reasonable and necessary on the ipsilateral eye. In these situations, both CPT codes may be reported appending modifier 59 to CPT code 92250. National Correct Coding Initiative Policy Manual for Medicare Services Version 16.3 Effective Date: October 1 ...

2023年4月24日 · Note: “There are reporting restrictions for certain services listed within the Special Ophthalmological Services subsection (eg, scanning computerized ophthalmic diagnostic imaging of the posterior segment — optic nerve [92133] or retina [92134]) in conjunction with the other retinal imaging detection of disease (92227-92229) or with fundus ...

Optometry Coding & Billing Alert - AAPC

2021年5月17日 · CPT ® code: 92250 (Fundus photography with interpretation and report). What it is: The code describes the work of taking fundus photographs (images of the posterior segment of the inner aspect of the eye to document alterations in the optic nerve head, retinal vessels and retinal epithelium).

2001年5月1日 · When the hospital sends the photos back, the physician interprets them, but because the ophthalmologist didnt perform the photography on equipment he or she owns the coder can bill for the professional component only: 92250-26. The hospital will bill for the technical component: 92250-TC.

2012年6月5日 · For 92250, there is a "2" in column Z, which means the payment adjustment for a bilateral procedure does not apply. A "0" in that column would also indicate no bilateral payment, but a "1" would tell you that the procedure is considered unilaterally performed and should be reported with modifier 50 when performed bilaterally.