Stacey Posted Thu 07th of June, 2012 20:49:59 PM
How often can I bill 92133 with a glaucoma dx of 365.11?
SuperCoder Answered Thu 07th of June, 2012 21:18:21 PM
CPT Code: 92133
Common Diagnosis: Glaucoma
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
Fundus Photo 92250
OCT Macular 92134
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