CPT^® 92285, Under Other Specialized Ophthalmological Services and Procedures

The Current Procedural Terminology (CPT^®) code 92285 as maintained by American Medical Association, is a medical procedural code under the range - Other Specialized Ophthalmological Services and Procedures.

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Summary

Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.

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MODIFIERS
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New to Optometry billing 92285

You don't need the modifier for the test to be done the same day. Bill just the 92012 and the 92285 by themselves without a modifier. You only need the modifier for something like foreign body removal... [ Read More ]

New to Optometry billing 92285

I am new to optometry billing and I have a denial for vision insurance of 92012-25 and 92285. The denial is for the modifier. Is it not necessary to have a modifier with this test? Thanks for you h... [ Read More ]

coding for excision of chalazion with office visit

Please help...patient was seen for the first time, referred to our office for chalazion; refraction, sensorimotor exam 92060, and external ocular photos 92285 were done with a chalazion excision in of... [ Read More ]

92250 Fundus photography with interpretation and report

We have a JVN device, which is similar to the RetinaVue. We also send our scans to a separate provider to be read and cannot bill global, but I do not think the ophthalmologist's report has to be done... [ Read More ]

Diabetic Retinal Eye Exam-PCP office

92250, 92285 (assuming you do your own reads and don't have to use -TC). Don't forget your 59/XU if done with an eye exam What's weird about these codes is that some plans pay under the MEDICAL insur... [ Read More ]

Carriers that WANT you to add Modifier 51

I will not get bonus points ;) - but a Novitas rep told me that modifier -51 was required for a JVN retinal scan Example (assuming no other optometry service): 92250-TC 92285-TC-51 I have not seen... [ Read More ]

CPT codes 92014, 92020 & 92085

[b]Xalatan[/b] Dear Coder, I just found out from Medicare that CPT code 92020 is bundled into CPT code 92285.... [ Read More ]

92250- retina scans

Yes, bill 92250-TC for part one of your question Yes, go ahead and bill global for the scenario listed in part two of your question Also, I don't know exactly what machine you have, but we are allow... [ Read More ]

Retinopathy Eye Exam Screening?

I bill Medicare for JVN/retinopathy screening using either a diabetes dx or a hypertensive dx (since JVNs will also detect hypertensive retinopathy) and then Z13.5 CPT: 92250-TC (with a 59 or XU modi... [ Read More ]

92250 & 92285

[b]92285[/b] I realize this is a very old post, but I get that reason a lot from MA Aetna and Aetna. They seem to be quicker to deem something experimental or not necessary. They have a pretty limi... [ Read More ]

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