What does CPT code 92132 mean?

Scanning computerized ophthalmic diagnostic imaging, anterior
New code—92132 Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral.

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Is 92132 a bilateral code?

The code is defined by Medicare as bilateral, so this is for one or both eyes. Other payers set their own rates, which may differ significantly from Medicare’s published fee schedule. 92132 is subject to Medicare’s Multiple Procedure Payment Reduction (MPPR).

What is the CPT code for optical coherence tomography?

92134
Coding Information 1. Use CPT code(s) 92133 or 92134 to report OCT, include any necessary modifiers (e.g. 26, TC).

Can 92250 and 92132 be billed together?

Fundus photography (CPT code 92250) and scanning ophthalmic computerized diagnostic imaging (e.g., CPT codes 92132, 92133, 92134) are generally mutually exclusive of one another in that a provider would use one technique or the other to evaluate fundal disease.

Can 92132 and 92134 be billed together?

92132: Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral. ► Do not report 92133 and 92134 at the same patient encounter.

Is optical coherence tomography covered by Medicare?

Medicare item 11219: Optical coherence tomography (OCT) OCT scans for ongoing monitoring of disease are not currently reimbursed by Medicare.

Does Medicare pay for optical coherence tomography?

A: Yes. Scanning computerized ophthalmic diagnostic imaging of the posterior segment (SCODI-P) is covered by Medicare subject to the limitations in its payment policies; other third party payers generally agree.

Can you bill for OCT A?

The American Medical Association publication of the CPT clearly defines the coding of OCT-A to be exactly the same as coding for OCT: 92134. This code alone is the proper way to code the procedure—no enhancements or embellishments, and no increased reimbursement.

Is 92134 covered by Medicare?

Claims for SCODI services (CPT codes 92133 and 92134) are payable under Medicare Part B in the following places of service: The global service is payable in the office (11), nursing facility (32- for Medicare patient not in a Part A stay) and independent clinic (49).

Can I claim optical coherence tomography?

Medicare item 11219: Optical coherence tomography (OCT) One OCT scan per year may be reimbursed by Medicare, but only when the scan is performed by an ophthalmologist for an initial diagnosis to confirm eligibility for PBS-funded eye injections.

What is optical coherence tomography used for?

Optical coherence tomography (OCT) is a noninvasive imaging method that uses reflected light to create pictures of the back of your eye. It can be used to diagnose and manage diseases like diabetes-related retinopathy and glaucoma.

Are OCT scans covered by Medicare?

Q: Does Medicare cover SCODI of the posterior segment with Topcon’s 3D OCT-1 Maestro2? A: Yes. Scanning computerized ophthalmic diagnostic imaging of the posterior segment (SCODI-P) is covered by Medicare subject to the limitations in its payment policies; other third party payers generally agree.

Are injections for macular degeneration covered by Medicare?

Yes, the FDA has approved Brolucizumab injections for the treatment of Macular Degeneration. Therefore, Medicare will cover it.

Who can perform fundus photography?

As an alternative, 7-field stereoscopic fundus photography is another acceptable method, but also requires both a trained photographer and a trained reader. Fundal photography compares favorably with ophthalmoscopy (performed by an experienced ophthalmologist, optometrist, and ophthalmic technician) ….

How often does Medicare pay for 92134?

4 times per year
92134 is allowed more often – typically up to 4 times per year – or monthly in patients with retinal conditions undergoing active intravitreal drug treatment.

What does CPT code 92132 mean?