CPT^® 92235, Under Ophthalmoscopy Procedures

The Current Procedural Terminology (CPT^®) code 92235 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmoscopy Procedures.

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Summary

The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken through the pupil. He interprets the findings and prepares a report. Indications for the study include various types of eye diseases and tumors and preparation for some forms of laser treatment.

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92235 & 92134 ncci edit

[QUOTE="Cheezum51, post: 506660, member: 329674"] Here's something I found: [B]OCT of the retina[/B] (92134) has been mutually exclusive with fundus photography (92250) since 2011, when CPT 92134 was ... [ Read More ]

92235 & 92134 ncci edit

Here's something I found: [B]OCT of the retina[/B] (92134) has been mutually exclusive with fundus photography (92250) since 2011, when CPT 92134 was implemented. It's important to note that FA (9223... [ Read More ]

92235 & 92134 ncci edit edit ncci

Good afternoon, We have a new retina physician in our practice, he has advised cpt 92235 & 92134 are bundled, but I do locate this edit on MEDICARE FIRST COAST NCCI TOOLS nor on the CMS website. ... [ Read More ]

Modifier 50 & RT/LT

92235, 92240, 92242 I need more explanation for this CPT codes, do we have to use mod.50, RT/LT? Ex. ( 92235, Fluorescein angiography (includes multiframe imaging) with interpretation and report, un... [ Read More ]

Any 92136 - Opt Biometry - Denials in 2017

The AAO is stating this is an error though...? [url]https://googlecrawl.aao.org/practice-management/news-detail/watch-out-cms-errors-cpt-76519-92136-92235-92240[/url]... [ Read More ]

MPPR indicators mppr reductions

Hi All: We have a provider that is stating we cannot use more than one MPPR indicator per claim. They are claiming that because we are taking the 20% ophthalmology reductions that we should not also ... [ Read More ]

Ophthalmology diagnostic coding & needed modifiers

I work for an Ophthalmology practice. Frequently, our doctors will bill an OCT (92134 or 92133) along with a Fundus Photo (92250), Visual Fields (92083), and maybe FA (92230 or 92235) or ICG (92240). ... [ Read More ]

92250/92235 coding to medicare

[b]92250/92235[/b] I bill the 92235; and the 92250 with modifier 59 and the claims do not get denied.... [ Read More ]

Are 92235/40 unilateral or bilateral?

Does anyone know if code(s) 92235 and 92240 are bilateral or unilateral? My understanding is that the codes can not be billed with a 50 modifier, but can be billed with a 52 - LT or RT. This would l... [ Read More ]

92250/92235 coding to medicare

I agree, the 92250 does not need to have the TC or 26 modifier if you are providing both. I bill this code on a regular basis to Medicare and it is always paid as long as there is a DX supporting the... [ Read More ]

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