Advanced Search

Ophthalmology and Optometry Coding Alert

Reader Question:

Fundus Photography

Published on Mon Dec 24, 2012

Question: When billing Medicare for a fundus photography, we bill for each eye. We put left and right on each charge, but Medicare only pays for one. How can we bill this so they will pay for both eyes, and not just one?

Anonymous North Carolina Subscriber

Answer: Fundus photography (92250) is a bilateral code in the Medicare program. When the ophthalmologist or technician views the retina with the camera after dilation, both eyes are photographed. There is no way to bill for both eyes. The code applies to one or both eyes. An interpretation and report must be provided as well to receive payment.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ophthalmology and Optometry Coding Alert

View All