Coding Clarification: Special Ophthalmological Services (92133, 92134) (November 2014)

Why This Topic Matters

Ophthalmology imaging services can be coded differently depending on the type of diagnostic output and the service performed. This clarification helps readers interpret the CPT Assistant guidance in light of code changes and avoid confusion when reviewing special ophthalmologic diagnostic imaging documentation.

Article Sections

1. Historical background and 2011 CPT changes

   Summarizes the evolution of the ophthalmic diagnostic imaging codes and the reason the article addresses later reporting clarification. It also notes the broader context of the code revisions described in the CPT Assistant discussion.

2. April 1999 CPT Assistant question and answer

   Reviews the earlier published question-and-answer format that prompted the clarification. The section provides the background for understanding how the article frames scanning laser fundus photography in relation to special ophthalmological services.

3. Revised reporting clarification

   Presents the updated guidance discussed by the article regarding the type of imaging and data involved in these ophthalmic services. It explains why the clarification was needed and how the revised answer is framed.

4. Rationale for the parenthetical note and descriptor changes

   Describes the reasoning behind the note associated with the updated codes and the changes made when the former code was divided into separate services. It also mentions the descriptor wording update discussed in the article.

5. Closing note on fundus photography without quantitative analysis

   Restates the article’s final emphasis on the general distinction between a photographic service and a more data-driven diagnostic imaging service. This section reinforces the closing clarification provided in the source text.