AMA CPT® Assistant - 2016 Issue 7 (July)

Medicine: Ophthalmology (Q&A) (July 2016)

July 2016 page 9a Medicine: Ophthalmology Question: What is the appropriate code(s) to report automated diabetic retinopathy screening using retinal image analysis, which is described as: "For each patient encounter (or visit), multiple images per eye (different fields and/or external images) are acquired. The screening system automatically detects/localizes the lesions from the input color retinal fundus images, assesses the severity of diabetic retinopathy and presence of surrogate markers for clinically significant macular edema, and recommends if the patient needs to be referred to a specialist." Is it appropriate to report this procedure with code 92250, Fundus photography with...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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