CPT^® 92250, Under Ophthalmoscopy Procedures

The Current Procedural Terminology (CPT^®) code 92250 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmoscopy Procedures.

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Summary

Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels, and retinal epithelium. It can be used to document baseline retinal findings and track disease progression.

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Have a question about CPT Code 92250 ? Start a discussion here

Retinopathy Eye Exam Screening?

[QUOTE="scauleycpc, post: 418130, member: 6578"] [B]Retinopathy Screening[/B] I too am at an FQHC. We are considering doing the retinopathy screening. Which code works for you when billing for the ... [ Read More ]

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

Never read that anywhere before. I know 92250 and 92134 are mutually exclusive edits but not the OCT with an FA. No NCCI edits that I have seen either. I double checked the coading coach from the acad... [ Read More ]

Billing CPT code 92250 at an FQHC

[QUOTE="jgielow, post: 503061, member: 300724"] I am being told by our billing company that an FQHC is unable to bill for the 92250. Can anyone confirm this? Or point me in the right direction? I a... [ Read More ]

Billing CPT code 92250 at an FQHC

I am being told by our billing company that an FQHC is unable to bill for the 92250. Can anyone confirm this? Or point me in the right direction? I am very new to FQHC billing and I am completely l... [ Read More ]

Can a Primary Care Provider bill 92250?

We are also billing 92250 for our PCP's doing fundus. We have had difficulty with Medicare but there are LCD's that want additional DX other than just a diabetes DX- check those, but other than them a... [ Read More ]

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 ]

modifier TC and 26

[QUOTE="jbhuju, post: 496228, member: 461213"] Hello Everyone, we are family practice and internal medicine but recently we have started billing 99250 with modifier TC but our provider are not reveiw... [ Read More ]

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