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When Extended Ophthalmoscopy and Imaging Collide – Retinal Physician

Distinction must be made between additive and duplicative information.

Extended ophthalmoscopy (EO; CPT 92225, 92226) and imaging of the retina (CPT 92250, 92134, 92235, 92240) are overlapping services. This overlap often leads to biller confusion as to whether both may be reimbursed when performed concurrently. When EO and imaging are performed concurrently, reimbursement depends on these tests finding different information.

This article addresses the following questions:

  • Is there medical necessity?
  • What is “additive information?”
  • What should we consider prior to billing?

This article was published in Retinal Physician, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Retinal Physician, click on the link below:

https://www.retinalphysician.com/issues/2019/september-2019/coding-q-amp;a-when-extended-ophthalmoscopy-and-i

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