CPT^® 92273, Under Other Specialized Ophthalmological Services and Procedures

The Current Procedural Terminology (CPT^®) code 92273 as maintained by American Medical Association, is a medical procedural code under the range - Other Specialized Ophthalmological Services and Procedures.

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Summary

The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess outer or generalized retinal function.

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99214 bundling w/ 92273 and 95930??

Aetna has begun randomly denying E/M 99214 whenever an ERG or VEP is billed on the same claim. Second level appeals have come back upholding these denials. I am coding all lines properly. Has anyone e... [ Read More ]

Modifiers - 92273/92274 92273 92274 modifiers opthalmology

Seeking additional information on these codes. Provider is billing for both and recently there have been several denials stating the the required modifier is missing when being billed together. What m... [ Read More ]

Reporting 99273 question?

If our doctor performs an Electroretinography (ERG), with interpretation and report with the procedure on one day and then the reading and report on a following day how should I report this? Should i... [ Read More ]

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