AMA CPT® Assistant - 2011 Issue 2 (February)
Ophthalmology Changes for 2011 (February 2011)
February 2011 pages 6-7 Ophthalmology Changes for 2011 Several changes were made to the Special Ophthalmological Services subsection under Medicine/Ophthalmology in the CPT® 2011 codebook. This article will provide an overview of these changes and their intended application. Background Over the past several years, there has been increased utilization of computerized ophthalmic diagnostic imaging. Initially the service included evaluation of the optic nerve only. With evolving technology the clinical use has expanded to incorporate evaluation of the retina, including assessment of diabetic macular edema. The current advancement in technology has allowed for imaging to be done in both the...
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Article Overview
This article reviews selected CPT ophthalmology changes for 2011 within the Medicine/Ophthalmology and Ophthalmoscopy areas. It is aimed at coders, billing staff, and ophthalmology practices that need to understand how the updated guidance relates to imaging services, remote retinal screening and monitoring, and related modifier usage. The discussion includes background on evolving ophthalmic imaging technology, new and revised code placements, and non-public guidance around reporting and related service categories.
Why This Topic Matters
These changes affect how ophthalmology imaging and remote retinal services are understood in the CPT codebook, which can influence charge capture, documentation review, and claims handling for eye care practices.
Article Sections
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February 2011 pages 6-7
Publication context for the article and the page range in which the discussion appears.
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Background
General background on the expanding use of computerized ophthalmic diagnostic imaging and the technology context for the 2011 updates.
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Anterior Segment Imaging
Discussion of anterior segment imaging and the new CPT structure associated with this area.
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Description of Procedure (92132)
A procedural overview of how the anterior segment imaging service is performed and documented.
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Posterior Segment Imaging
Overview of posterior segment imaging and the separate reporting focus for optic nerve and retina studies.
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Description of Procedure (92133)
A procedural overview of the optic nerve imaging workflow and interpretation process.
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Description of Procedure (92134)
A procedural overview of the retinal imaging workflow and interpretation process.
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Ophthalmoscopy
Discussion of ophthalmoscopy subsection updates, including remote imaging for retinal disease screening and monitoring.
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Clinical Example (92227)
A representative patient scenario illustrating the screening context for remote retinal imaging.
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Clinical Example (92228)
A representative patient scenario illustrating the monitoring context for remote retinal imaging.
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Description of Procedure (92228)
A procedural overview of the image-review and reporting workflow for active retinal disease monitoring.
What You Will Learn
- How the 2011 ophthalmology updates are organized within CPT
- How computerized ophthalmic diagnostic imaging is discussed in relation to anterior and posterior segment services
- How remote retinal imaging is addressed within the ophthalmoscopy subsection
- What general types of documentation and reporting considerations are associated with these services
- How the article frames the relationship between imaging services and related ophthalmology code families
Who Should Read This
- Medical coders
- Ophthalmology billing staff
- Practice managers
- Ophthalmologists
- Compliance and reimbursement staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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