Can CPT 92134 and 92250 be billed together?

Can CPT 92134 and 92250 be billed together?

Coding Implications Fundus photography with interpretation and report—92250—and either 92133 or 92134 cannot be performed on the same date of service on the same patient.

Is optomap the same as retinal imaging?

Getting an optomap image is fast, painless, and comfortable. The optomap ultra-widefield retinal image is a unique technology that captures more than 80% of your retina in a single image while traditional imaging methods typically only show 15% of your retina at one time.

What is the CPT code for optos?

92250
The OPTOS is billed under the same CPT as Fundus Photography 92250 and is being used in most cases as an alternative to being dilated.

How do I bill CPT 92134?

Diagnostic Tests, and X-Rays Coding Information

1. CPT codes 92133 and 92134 are classified as unilateral or bilateral procedures.
2. Bill the test on a single line, place 00010 in Item 24G on the CMS 1500 claim form or its equivalent.
3. Per CPT guidelines, do not report 92133 and 92134 at the same patient encounter.

Is fundus photography covered by Medicare?

A: Usually. Medicare will reimburse you for fundus photography if the patient presents with a complaint that leads you to order and perform this test as an adjunct to evaluation and management of a covered indication. Also, it is not covered if performed for indications not in the local coverage policy.

What is the 26 modifier?

Generally, Modifier 26 is appended to a procedure code to indicate that the service provided was the reading and interpreting of the results of a diagnostic and/or laboratory service. To help ensure the accurate adjudication of claims, we ask that you adhere to the following Modifier 26 guidelines.

Is fundus photography the same as optomap?

Standard fundus photography captures a field of view of approximately 30 to 50 degrees in a single image, while the OPTOS Panoramic 200 TM utilizes scanning laser technology to image a much wider field (210 degrees), giving the latter a possible advantage.

Which is better optomap vs dilation?

while dilation helps to make a detailed and in-depth examination of the specific portions of the eye that may be diseased; the optomap provides a single image of almost the entire eye and helps the doctor to diagnose diseases quickly.

What is optomap plus?

A fast, easy and comfortable scan of the back of the eye to confirm a healthy eye or, to detect the presence of disease • An overview or map of the retina, giving our doctors a more detailed view that cannot be achieved by other means • The opportunity for you to view and discuss the Optomap images of your eye with …

Is 92134 covered by Medicare?

92133 and 92134 are subject to Medicare’s Multiple Procedure Payment Reduction (MPPR). This reduces the allowable for the technical component of the lesser-valued test when more than one test is performed on the same day.

Does 92134 need a modifier?

Use CPT code(s) 92133 or 92134 to report OCT, include any necessary modifiers (e.g. 26, TC).

How do you code fundus photography?

Q. What CPT code is used to report fundus photography? A. Use CPT code 92250 (Fundus photography with interpretation and report) to report this test.

What is the CPT code for OPTOS optomap?

The actual reference was an article written by an AAO Coding Executive that stated “The Optos Optomap is image-assisted ophthalmoscopy for evaluation of ocular health. It does not meet the criteria for the CPT code for fundus photography (92250) or the codes for OCT of the posterior segment (92133 for the optic nerve; 92134 for the retina).

What is the CPT code for opto map plus color imaging?

Billing FAQs The CPT code for opto map plus color imaging is 92250

Is the opto map a digital image of the retina?

The opto map is a digital image of the retina produced by Optos scanning laser technology. It is the only technology that can capture 82% view of your retina at one time. Does it hurt? No. It is completely comfortable and the scan takes less than a second. How will optomap benefit me?

How often should I have an optomap imaging?

Unlike traditional retinal exams, the opto map image can be saved for future comparisons. How often should I have an optomap? This is a decision that should be made by your doctor. However, it is generally recommended that you have an opto map each time you have an eye exam.