Ophthalmology and Optometry Coding Alert
Do This When Descriptors Say ‘Unilateral or Bilateral’
Question: Because payment for fluorescein angiography (FA) (92235), indocyanine-green angiography (ICG) (92240), and combined FA and ICG (92242) is bilateral instead of unilateral, should we append either modifier RT/LT or modifier 52 to show reduced services when performed only on one eye? Nevada Subscriber Answer: Unless the payer policy specifically states to do so, the answer is no. No modifier is necessary when performed on one side only. These codes have the same allowable whether one or both eyes are tested and include the language “unilateral or bilateral” in their descriptors: 
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Do This When Descriptors Say ‘Unilateral or Bilateral’
Question: Because payment for fluorescein angiography (FA) (92235), indocyanine-green angiography (ICG) (92240), and combined FA and [...]
