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Fundus Photography Cpt Code

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Fundus Photography CPT code 92250, 92499 and Valid …

    https://medicarepaymentandreimbursement.com/2011/06/fundus-photography-cpt-code-92250-92499.html
    Fundus photography (CPT code 92250) and scanning ophthalmic computerized diagnostic imaging (CPT code 92133 or 92134) are generally mutually exclusive of one another in that a provider would use one technique or the other to evaluate fundal disease.

Ophthalmology: Extended Ophthalmoscopy and Fundus …

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33467&CptHcpcsCode=92250
    In the indications Fundus Photography section under the CPT code 92227 corrected the sentence to read …cause retinal disease when the test is ordered by the treating physician. Also made some grammatical and punctuation corrections to this section.

Fundus Photography - Medical Clinical Policy Bulletins

    https://www.aetna.com/cpb/medical/data/500_599/0539.html
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Know These 5 Facts About Fundus Photography Coding

    https://www.aapc.com/codes/coding-newsletters/my-ophthalmology-coding-alert/imaging-know-these-5-facts-about-fundus-photography-coding-157044-article
    Medicare Has No National Coverage Determination on This Service. CMS often publishes …

Medicare Reimbursement for Fundus Photography FAQs …

    https://www.corcoranccg.com/products/faqs/fundus-photography-topcon/
    Q What CPT code describes fundus photography? A CPT code 92250 (Fundus photography with interpretation and report) to report this service. Q What is the reimbursement for 92250? A CPT 92250 is defined as bilateral so reimbursement is for both eyes. The 2017 national Medicare Physician Fee Schedule allowable is $66.75.

Frequency of Billing Fundus Photography

    https://www.aao.org/practice-management/news-detail/frequency-of-billing-fundus-photography
    Question: Our physician heard that he should not be submitting CPT code 92250 Fundus Photography more than twice per year. However, he feels there are times when additional billings may be necessary. Can you confirm the frequency of billing fundus photos? Answer: Not every MAC has a policy on fundus photos. Those that do, like National Government Services, …

Medicare Reimbursement for Fundus Photography (Zeiss)

    https://www.corcoranccg.com/products/faqs/fundus-photography-zeiss/
    A: Use CPT code 92250 (Fundus photo-graphy with interpretation and report) to report this service. CPT 92250 is defined as bilateral so reimbursement is for both eyes. The 2019 national Medicare Physician Fee Schedule allowable is $51.54.

CG-MED-47 Fundus Photography - Amerigroup

    https://medpol.providers.amerigroup.com/dam/medpolicies/amerigroup/active/guidelines/gl_pw_c160717.html
    CPT . 92250. Fundus photography with interpretation and report . ICD-10 Diagnosis . All diagnoses except those listed as ‘not medically necessary’, including, but not limited to:

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 ® code 92228 (remote imaging for monitoring and management of active ...

Optometry Coding & Billing Alert - AAPC

    https://www.aapc.com/codes/scc_articles/article_pdf/41/diagnostics-92250-survival-guide-keep-these-tips-in-your-fundus-photo-toolbox-124437
    Of these typical components of a glaucoma exam, you can code fundus photography (92250), gonioscopy (92020, Gonioscopy [separate procedure]) and visual field examinations (92081-92083) separately from the E/M or eye examination code. But check with your carrier to be sure the codes don't have specific frequency limitations. 5.

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