AMA CPT® Assistant - 2011 Issue 5 (May)
Medicine: Ophthalmology [Q & A] (May 2011)
May 2011 page 9c Medicine: Ophthalmology Question: Please explain the intent of codes 92227 and 92228. What is the difference in the code descriptors "with analysis and report under physician supervision" and "with physician review, interpretation and report"? Is a physician required for both of these tests? Answer: The intent for code 92227, Remote imaging for detection of retinal disease (eg, retinopathy in a patient with diabetes) with analysis and report under physician supervision, unilateral or bilateral, is for reporting screening examinations for the asymptomatic patient who is at risk for conditions associated with retinopathy, such as diabetes mellitus...
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Article Overview
This ophthalmology Q&A article discusses remote retinal imaging guidance in the CPT code set and focuses on how the service is framed for screening versus ongoing management. It is aimed at coders, billers, and ophthalmology practices that need to understand the scope of the codes, the role of physician supervision or review, and the general documentation context described by CPT Assistant.
Why This Topic Matters
Accurate understanding of these ophthalmology imaging services affects how practices classify retinal screening and monitoring encounters and how they distinguish services that require different levels of physician involvement. The article helps readers align their documentation and coding workflows with the published CPT guidance.
Article Sections
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May 2011 page 9c
An ophthalmology Q&A focused on remote imaging services for retinal disease. The section addresses the broader purpose of the guidance and the roles involved in reporting these services.
What You Will Learn
- The general purpose of remote retinal imaging guidance in ophthalmology
- How the article distinguishes screening-oriented imaging from monitoring-oriented imaging
- The documentation and physician-involvement context discussed in the Q&A
- How this CPT Assistant guidance is framed for practice use
Who Should Read This
- Medical coders
- Coding auditors
- Ophthalmology practices
- Physicians
- Billers
Codes Discussed
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