2011 CPT Introduces New Ophthalmological Codes, Revises Others

November 12th, 2010

The following new and revised codes will be listed in the 2011 CPT Coding Manual and are effective January 1, 2011.

Code 92135 was one identified by the AMA as subject to misuse.  Further, the use of this testing has grown substantially.  Thus the code has been deleted and replaced with the following:

  • 92132 - Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral (Replaces 0187T)
  • 92133 - Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve
  • 92134  - Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina

The Ophthalmoscopy codes have also been revised to include the following codes to report remote imagining for screening retinal disease and management of active retinal disease.  Per AMA's Changes: An Insider's View:  "These codes are required to meet the needs of diabetic retinopathy screening programs, which provide remote imaging and data sumission to a centralized reading center."

  • 92227 - Remote imaging for detection of retinal disease (e.g., retinopathy in a patient with diabetes) with analysis and report under physician supervision, unilateral or bilateral.  Do not report this code with 92002-92014, 92133, 92134, 92134, 92250, 92228 or with an E&M based on a single organ system.
  • 92228 - Remote imaging for monitoring and management of active retinal disease (e.g., diabetic retinopathy) with physician review, interpretation and report, unilateral or bilateral.  Do not report this code with 92002-92014, 92133, 92134, 92134, 92250, 92228 or with an E&M based on a single organ system

Additional ophthalmological coding changes/revisions include:

  • 66174 - Transluminal dilation of aqueous outflow canal; without retention of device or stent (Replaces 0176T)
  • 66175 - Transluminal dilation of aqueous outflow canal; with retention of device or stent (Replaces 0177T)
  • 65778 - Placement of amniotic membrane on the ocular surface for wound healing; self-retaining
  • 65779 - Placement of amniotic membrane on the ocular surface for wound healing; single layer, sutured
  • 65780 - Ocular surface reconstruction; amniotic membrane transplantation, multiple layers
  • 66761 - Iridotomy / iridectomy by laser surgery (e.g., for glaucoma) (per session)

 

Comments

There are no comments yet.

Leave a comment

Do not fill in this email field. It is used to detect spam bots.
Do not fill in this comment field. It is used to detect spam bots.
Recent Blog Posts
Recent Tweets