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Get up to speed on fundus photography billing – Ophthalmology Management

Fundus photography isn’t a new test, although great advances in the technology continue. Billing rules do change, though, so here is a review.

This article addresses the following questions:

  • What is fundus photography?
  • What documentation is required in the medical record to support a claim for fundus photography?
  • What CPT code is used to report fundus photography?
  • Is fundus photography covered by Medicare and other third-party payers?
  • What is the reimbursement for 92250?
  • What is Medicare’s supervision requirement for fundus photography?
  • Is fundus photography bundled with other tests or services?
  • What is the frequency of 92250 in the Medicare program?
  • How often may we repeat this test?
  • If coverage is unlikely or uncertain, how should we proceed?

This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below:

https://www.ophthalmologymanagement.com/issues/2020/february-2020/coding-amp;-reimbursement

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