Reporting Remote Retinal Imaging Procedures in 2021 (January 2021)

January 2021 page 10 Reporting Remote Retinal Imaging Procedures in 2021 Technological advances in the field of ophthalmology justify changes to the Special Ophthalmological Services subsection in the Medicine section of the Current Procedural Terminology (CPT®) 2021 code set. The descriptor language for codes 92227 and 92228 was revised to specify the type of health care professional performing the remote services. A new code (92229) was established to reflect analyses completed by automated means, generating an immediate report for care-management recommendations at the point of care, performed either unilaterally or bilaterally. In addition, several parenthetical notes were revised...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CPT 2021 updates related to remote retinal imaging procedures in ophthalmology. It is relevant to coders, billers, ophthalmology practices, and compliance staff who need to understand how the special ophthalmological services subsection changed, what broad categories of services are affected, and how the related notes and examples frame reporting considerations.

Why This Topic Matters

Retinal imaging and automated analysis services are commonly used in eye care and diabetic retinopathy screening workflows. Understanding the 2021 CPT revisions helps practices recognize which service categories were updated and how the surrounding guidance was reorganized.

Article Sections

  1. January 2021 page 10

    A brief issue-marker section identifying the publication context for the article.

  2. Reporting Remote Retinal Imaging Procedures in 2021

    An overview of the CPT 2021 changes affecting remote retinal imaging reporting in ophthalmology, including revised descriptors, a new automated-analysis service, and note revisions.

  3. Ophthalmoscopy

    The main procedure grouping discussed in the article, presenting the affected retinal imaging services and the associated parenthetical guidance.

  4. Coding Tip

    A short practice-focused note highlighting a general implementation consideration for one of the updated services.

  5. Clinical Example (92227)

    A representative clinical scenario paired with a procedural description section format for one of the discussed services.

  6. Clinical Example (92228)

    A representative clinical scenario paired with a procedural description section format for one of the discussed services.

  7. Clinical Example (92229)

    A representative clinical scenario paired with a procedural description section format for the new automated-analysis service.

What You Will Learn

  • What category of CPT updates the article addresses
  • How the article frames changes to remote retinal imaging reporting
  • What general types of note revisions are discussed
  • How the article uses clinical examples to illustrate the updated services
  • What broad ophthalmology workflow considerations are highlighted

Who Should Read This

  • Medical coders
  • Ophthalmology billing staff
  • Compliance professionals
  • Revenue cycle staff
  • Physician practices
  • Clinical documentation teams

Codes Discussed

Code Ranges Discussed


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