What is procedure code 92250?

What is procedure code 92250?

What is procedure code 92250?

Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels, and retinal epithelium. It can be used to document baseline retinal findings and track disease progression.

What is 92250 bundled with?

According to Medicare’s National Correct Coding Initiative (NCCI), 92250 is mutually exclusive with scanning computerized ophthalmic diagnostic imaging of the posterior segment (92133, 92134).

Does CPT 92250 require a modifier?

CPT codes 92250 and 92228 describe services that are performed bilaterally. Modifier 50 is never appropriate with these codes. Modifiers LT and RT should only be used if a unilateral service is performed.

Can CPT code 92250 and 92134 be billed together?

Coding Implications Fundus photography with interpretation and report—92250—and either 92133 or 92134 cannot be performed on the same date of service on the same patient.

How often can CPT 92250 be billed?

only once
CPT Code 92250 is a bilateral procedure and should be billed only once.

What modifier is used with 92250?

MODIFIER 52 AS APPLIED TO DIAGNOSTIC TESTS CPT code 92250 does not contain the unilateral or bilateral descriptor, and payment is based on both sides being tested. Thus, if only one side is tested, this is considered a reduced service.

Does Medicare cover CPT code 92250?

A Yes. According to Medicare’s National Correct Coding Initiative (NCCI), 92250 is bundled with ICG (92240) and mutually exclusive with scanning computerized ophthalmic diagnostic imaging of the posterior segment (92133 or 92134).

Does Medicare cover fundus photography?

The patient’s medical record must contain documentation that fully supports the medical necessity for fundus photography as it is covered by Medicare. This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures.

Does Medicare pay for 92250?