CPT^® 92227, Under Ophthalmoscopy Procedures

The Current Procedural Terminology (CPT^®) code 92227 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmoscopy Procedures.

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Summary

The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The imaging helps with diagnosing and monitoring retinal disease.

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Can a Primary Care Provider bill 92250?

[QUOTE="cdiaz, post: 498060, member: 314499"] We are billing routine/diagnostic fundus photographs for diabetic patients but keep receiving denials from the insurance stating the provider does not mat... [ Read More ]

Can a Primary Care Provider bill 92250?

We are billing routine/diagnostic fundus photographs for diabetic patients but keep receiving denials from the insurance stating the provider does not match the billable code. I see there have been c... [ Read More ]

CPT 92227 and CPT II 2022F

Greetings all! Does anyone have experience coding a DRE and applying the 92227? If so, I would like clarification if in capturing a low quality image satisfies the intent of this code. Thanks... [ Read More ]

Imaging Center Billing for CPT 92227

I am a new coder, and I work for an imaging center that wants to bill for the CPT code 92227. We take the images here and send them to a remote eye doctor to be read. We do fall under the physician fe... [ Read More ]

Retinopathy Eye Exam Screening?

I work for an FQHC and our patients are very low income and cannot afford to go to an ophthalmologist just for a screen. If we discover any abnormalities we refer them and try to get them set up with ... [ Read More ]

92227 coding question

So here's the scenario...A PCP reports a 92227 on a patient of theirs. There is something on the pathology that this PCP would like my ophthalmologist to review, so the images are sent to him. 2 sep... [ Read More ]

CPT's Codes 92227, 92228, & 92250, 99177 HELP PLEASE!

Are theses codes billable as a separate service with an E&M in a primary care practice setting? We would only be providing the technical component not the reading. Also, if we contract off site for ... [ Read More ]

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