tci Part B Insider - 2013 Issue 20

Reader Question: Know Your Options Before Reporting 92225

Question: A patient reports flashes and floaters but the optometrist does not find evidence of retinal pathology on routine ophthalmoscopy. Are we justified in billing for extended ophthalmoscopy (EO)?   Kansas Subscriber Answer: If the ophthalmoscopy is a routine part of a patient’s eye exam, do not bill for it separately. However, complaints of flashes and floaters are always serious and must be evaluated carefully; often, these symptoms will justify extended ophthalmoscopy (92225, Ophthalmoscopy, extended, with retinal drawing [e.g., for retinal detachment, melanoma], with interpretation and report; initial). Use 92225 to report a Goldmann-3 exam (examining the...

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