Question:
Delaware Subscriber
Answer:
For corneal topography, report 92025 (Computerized corneal topography, unilateral or bilateral, with interpretation and report). You do not need to resort to 92499 (Unlisted ophthalmological service or procedure). Check with your carriers for their rules on demonstrating medical necessity for this procedure. For example, Medicare Part B carrier Cigna has published a local coverage determination (LCD) listing these diagnoses for which 92025 would be medically necessary:Watch for:
Cigna goes on to specify that irregular astigmatism code 367.22 must always be accompanied by V45.61 or V45.69. The reverse is also true: V45.61 and V45.69 must always appear with 367.22.ABN alert:
Some carriers may still find corneal topography to be "experimental or investigational." Consider having patients sign an advance beneficiary notice (ABN) before you perform this procedure. However, keep in mind that itcan be very difficult to get a patient to pay for a procedure that their insurance company considers "experimental."