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Medicare Reimbursement for Fundus Photography FAQs …
- https://www.corcoranccg.com/products/faqs/fundus-photography-topcon/
- Medicare covers fundus photography if the patient presents with a complaint that leads you to perform this test or as an adjunct to management and treatment of a known disease. If the images are taken as baseline documentation of a healthy eye or as preventative medicine to screen for potential disease, then it is not covered (even if disease is identified).
Ophthalmology: Extended Ophthalmoscopy and Fundus …
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33467&CptHcpcsCode=92250
- 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.
Medicare Reimbursement for Fundus Photography (Zeiss)
- https://www.corcoranccg.com/products/faqs/fundus-photography-zeiss/
- Medicare covers fundus photography if the patient presents with a complaint that leads you to perform this test or as an adjunct to management and treatment of a known disease. If the images are taken as baseline documentation of a healthy eye or as preventative medicine to screen for potential disease, then it is not covered (even if disease is identified).
Fundus Photography CPT code 92250, 92499 and Valid …
- https://medicarepaymentandreimbursement.com/2011/06/fundus-photography-cpt-code-92250-92499.html
- Fundus photography is not a covered service when used to document the absence of pathology (i.e., a normal or healthy fundus or screening) or when the physician elects to incorporate it as a routine procedure.
Fundus Photography - Medical Clinical Policy Bulletins
- https://www.aetna.com/cpb/medical/data/500_599/0539.html
- none
MEDICARE REIMBURSEMENT FOR FUNDUS PHOTOGRAPHY …
- http://www.veatchinstruments.com/shared/resources/FAQs-Fundus-Imaging.pdf
- Medicare covers fundus photography if the patient presents with a complaint that leads you to perform this test or as an adjunct to management and treatment of a known disease. If the images are taken as baseline documentation of a healthy eye or as preventative medicine to screen for potential disease, then it is not covered
Article - Billing and Coding: Ophthalmology: Extended
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53060&LCDId=33467&DocID=L33467
- Fundus photography is a bilateral service on the Medicare Physician Fee Schedule Database. Services performed unilaterally are subject to a reduction in fee. [Use –52 modifier to indicate unilateral service; -RT and –LT are not required in this circumstance.] CPT ® codes 92201 and 92202 should not be billed if fundus photography is performed.
Know These 5 Facts About Fundus Photography Coding - AAPC
- https://www.aapc.com/codes/coding-newsletters/my-ophthalmology-coding-alert/imaging-know-these-5-facts-about-fundus-photography-coding-157044-article
- We've rounded up a few quick facts that can help guide your fundus photography reporting. 1. Medicare Has No National Coverage Determination on This Service CMS often publishes national coverage determinations (NCDs) to share the agency's nationwide coverage regulations for a particular code or service.
Intraocular Photography (NCD 80.6) – Medicare …
- https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/i/intraocular-photography.pdf
- Fundus photography is not covered for routine screening and is considered medically necessary only when it would assist in: Monitoring potential progression of a disease process; or Guidance in evaluating the need for or response to a specific treatment or intervention.
Is 92250 covered by Medicare? - AskingLot.com
- https://askinglot.com/is-92250-covered-by-medicare
- Thereof, does Medicare cover fundus photography? ANSWER: Yes. Medicare will reimburse you for fundus photography if the patient presents with a complaint that leads you to perform this test as an adjunct to evaluation and management of a covered indication. Also, it is not covered if performed for indications not in the local coverage policy.
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