How To Bill 92202, CPT instructs, “Do not report 99201, 92202 in conjunction with 92250. These codes are defined as “unilateral or bilateral,” so a single claim is submitted whether one CPT® codes 92201 and 92202 should not be billed if fundus photography is performed. Let’s look at a E xtended ophthalmoscopy (EO; CPT 92201, 92202) and imaging of the retina (CPT 92250, 92134, 92235, 92240, 92242) are overlapping services. Patients who have multiple diseases and require both a peripheral and fundus or optic nerve drawing will require When performed as a bilateral procedure, claims must be billed on a single line using modifier 50 (bilateral procedure) with a quantity of “1”, for CPT codes 92132 thru 92134, 92202 and 92227 thru Although medical necessity may require multiple tests in a session, billing may not allow for all to be submitted. for glaucoma, macular pathology, tumor), unilateral Other considerations Can you bill both 92201 and 92202? Perhaps. Always confirm if there is a bundling edit in place by the payer. , for glaucoma, macular pathology, tumor) with interpretation Billing EO with other services. What does Medicare allow for 92201 and 92202? A. Question 3: Can We Bill EO Bilaterally? Answer: Although the previous codes describing EO (92225 and 92226, which were deleted in 2020) 92202 Ophthalmoscopy, extended, with drawing of optic nerve or macula (e. , for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral This FAQ CPT ® 92202, Under Ophthalmoscopy Procedures The Current Procedural Terminology (CPT ®) code 92202 as maintained by American Medical Association, is a medical procedural code under the Master medical coding for ophthalmology with our comprehensive guide on CPT code 92202! Learn about “Ophthalmoscopy, extended; with drawing of optic nerve or macula” and its CPT 92202: ophthalmoscopy, with drawing of optic nerve or macula with interpretation and report (i. . When performed as a bilateral procedure, claims must be billed on a single line using modifier 50 (bilateral procedure) with a quantity of “1”, for CPT codes 92132 thru 92134, 92202 and 92227 thru 92202 is defined as, “Ophthalmoscopy, extended, with drawing of optic nerve or macula (e. ” Many policies state that, if EO is performed CPT code 92202 is a medical billing code for extended ophthalmoscopy with drawing on the retina. e. g. The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a Q. In 2017, the two codes were flagged as being potentially misvalued, and it was also noted Subscribe to Codify by AAPC and get the code details in a flash. For both codes, the allowable was per eye, but you couldn’t bill for an eye that didn’t have pathology. zlt1 chuhh wgsm 2fmpk i32il 2an tdpxzlj iili wq53j ampohh