Our office is internal medicine. We have had a lot of problems in getting patients to go to an ophthalmologist for care due to diabetes. One of the insurance companies we deal with suggested using a handheld retina device to take photos which in turn are sent to a ophthalmic provider for review. This is similar to telemedicine. However, since the code we would bill is 92250 per the company, I can see rejections due to this not being in our specialty. The company states their is a work around but I was wondering if anyone in primary care had experience with this they are willing to share.