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: