1. User id : 26714 Posted 11 months ago #
   

   How often can I bill 92133 with a glaucoma dx of 365.11?

2. SuperCoder Posted 11 months ago #
   

   Optic Nerve
   CPT Code: 92133

   Common Diagnosis: Glaucoma

   365.04
   365.11
   Modifiers: No modifiers. This code is considered bilateral without modifiers. Modifier 50 will result in rejection by most payers. Code considered unilateral or bilateral.

   Use of Modifiers TC/26: Acceptable
   .
   Coincidental Codes:

   Fundus Photo 92250
   Ophthalmoscopy 92225/92226
   B-Scan 76512
   OCT Macular 92134
   Frequency:

   No more than four times yearly.

   Link to Medicare policy on this code

   Note that effective 1/1/2011 92135 is no longer a valid code for the vast majority of payers, including Medicare. GDX/OCT must now be specified whether 92132, 92133, or 92134.

   Use 92132 for anterior segment, thickness, cornea, sclera

   Use 92133 for optic nerve

   Use 92134 for macular, retina

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