AMA CPT® Assistant - 2026 Issue 5 (May)
Coding Clarification: Retinal Imaging Services (92227-92229, 92250)
May 2026 page 26 Coding Clarification: Retinal Imaging Services ( 92227 - 92229 , 92250 ) Although the accurate reporting of retinal imaging services was discussed in the “Coding Clarification: Remote Retinal Imaging Services” article in the June 2021 issue of CPT Assistant , there are ongoing questions about reporting codes 92227 - 92229 and 92250 , especially with the rapid advancement of digital health technologies, such as artificial intelligence (AI) and point-of-care diagnostics. This coding clarification will focus on the key distinctions for these services and address uncertainties regarding the appropriate reporting of these codes, including modifier application and reporting evaluation...
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Article Overview
This coding clarification article addresses retinal imaging services in CPT and explains how different service arrangements and technology-based workflows affect reporting. It is aimed at coding professionals, billers, and clinical staff who work with ophthalmology and diagnostic imaging claims and need to understand general CPT guidance on service attribution, modifier application, and separate reporting of evaluation and management services when supported by documentation. The article is especially relevant in the context of remote review, physician interpretation, autonomous analysis, and same-day service coordination.
Why This Topic Matters
Retinal imaging claims can be difficult to code correctly when image acquisition, interpretation, and reporting occur in different settings or are supported by emerging digital tools. Clear understanding of the article helps reduce reporting errors and supports compliant billing practices in ophthalmology.
Article Sections
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Overview
Introduces the topic of retinal imaging reporting and notes the growing questions related to newer diagnostic technologies and workflow variations.
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Medicine / Ophthalmoscopy
Presents the CPT retinal imaging services discussed in the article and frames the scope of the coding clarification.
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Modifier Application for Retinal Imaging Services
Discusses general modifier usage concepts for these services and how component-based reporting is addressed in the article.
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Reporting E/M Codes With Code 92229
Covers the circumstances under which evaluation and management reporting is addressed alongside retinal imaging services.
What You Will Learn
- How the article distinguishes among retinal imaging service categories
- How modifier use is addressed for retinal imaging reporting
- How the article discusses separate evaluation and management reporting in relation to retinal imaging
- What general coding issues arise with remote, in-person, and automated retinal imaging workflows
Who Should Read This
- CPT coders
- Medical billers
- Ophthalmology practices
- Compliance staff
- Clinical documentation staff
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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