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CPT Knowledgebase - Aug 29, 2016
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 interpretation and report, in addition to 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?
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