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

Don't miss legitimate opportunities in glaucoma visits. Fundus photography is a critical tool in your optometrist's toolbox for diagnosing and tracking ocular disease. But there are many pitfalls between the performance of a 92250 service and a paid claim. Read on to discover how our experts advise coding and billing for fundus photography. 1. Show Medical Necessity by Not Overdoing Dx Codes ...

Fundus photography CPT code 92250 (Fundus photography with interpretation and report) is one of the most frequently performed procedures in ophthalmology offices across the country.

And with just one CPT® code to describe fundus photography, 92250 (Fundus photography with interpretation and report), you’d think your task as a coder would be pretty simple. But veteran coders know that that even the simplest tasks have hidden complexities, from diagnosis coding to bilateral rules.

Hint: Watch your diagnosis codes every time you report 92250. Fundus photography is one of the most commonly performed and least invasive diagnostic tests that eye care professionals use to help evaluate patients' eye health.

Just as coders were wrapping their heads around the updates, subsequent coding guidance in CPT® Assistant (volume 31, issue 1) added to the confusion surrounding the proper application of these codes. This left many of you with a lot of questions about reporting retinal imaging services.

CPT® code: 92250 (Fundus photography with interpretation and report). What it is: The code describes the work of taking fundus photographs (images of the posterior segment of the inner aspect of the eye to document alterations in the optic nerve head, retinal vessels and retinal epithelium).

Found articles that indicate you can't bill these during the same visit. Why? Coding Coach indicates there are limited clinical conditions that allow this combo by adding 59 to 92250. What are these? Where might I find literature documentation stating these rules and the explanation? Thanks!

Then we use 92250 with a modifier 52, she says. Modifier 52 is for reduced services, and is used when a service or procedure is partially reduced or eliminated at the physicians discretion (CPT 1999).

I was wondering if this is how I would bill an E M 99204 25 with 92250, 92133 and 92020 using modifiers. 99204 25 92250 92133 92020 XU

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