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Marina Posted Wed 16th of August, 2017 13:24:17 PM
Can codes 92250 and 92134 be billed together? Will Medicare pay for both codes billed on same day?
SuperCoder Answered Thu 17th of August, 2017 01:25:34 AM

If the scanner produces an image of the retina or optic nerve along with other data and imaging for quantitative analysis, it would be appropriate to report a single service from the appropriate scanning computerized ophthalmic diagnostic imaging code range (92133-92134). If only an image is obtained, then code 92250 would be reported.

“It is important to note that if the only necessary service provided is generating a fundus photograph without the need to quantify the nerve fiber layer and to analyze the data via a computer, then reporting code 92250 is appropriate, even if the photograph was taken with a scanning laser.”

The bundles and edits in place for SCODI of the posterior segment and FP remain for the same date of service; you can’t bill 92133/4 and 92250 unless the testing is medically necessary and performed on different dates.

Hope that helps!


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