Can 92250 and 92133 be billed together?

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.

What is 92250 bundled with?

The technician exam 99211 is bundled with 92250, as it is with most tests. Code 92250 also is mutually exclusive with scanning computerized ophthalmic diagnostic imaging of the posterior segment (92133, 92134).

What diagnosis goes with 92133?

Medicare will consider scanning computerized ophthalmic diagnostic imaging (SCODI) medically reasonable and necessary in evaluating retinal disorders, glaucoma and anterior segment disorders as documented in this local coverage determination (LCD).

What does CPT code 92133 mean?

92133. SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING, POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE.

How often can 92250 be billed?

only once
CPT Code 92250 is a bilateral procedure and should be billed only once.

Is CPT 92250 covered by Medicare?

A Yes. According to Medicare’s National Correct Coding Initiative (NCCI), 92250 is bundled with ICG (92240) and mutually exclusive with scanning computerized ophthalmic diagnostic imaging of the posterior segment (92133 or 92134).

Does 92133 need a modifier?

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

What does CPT code 92250 mean?

fundus photography with interpretation and report
It stated that CPT code 92250, fundus photography with interpretation and report, which describes generation of a retinal image only and no data generation, would be appropriately assigned for this procedure.

Does CPT 92133 need a modifier?

How do I bill my 92250?

Note: Use 92250 only to report photographs obtained with a camera on film or digital media. Note: Use 92499 to identify fundus images obtained with scanning laser equipment. It should be noted that there are National Correct Coding Initiative (NCCI) mutually exclusive edits for CPT codes 92135 and 92250.