CPT Code 92250: Fundus Photography with Interpretation and Report

CPT Code 92250: Fundus Photography with Interpretation and Report

Know more about the documentation requirements and billing guidelines needed for accurate coding and billing of CPT code 92250.

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Frequently asked questions

No. Fundus photography must be medically necessary for diagnosis or monitoring; routine screenings are not covered.

Not for the same condition in the same eye unless separately indicated and well-documented. For example, if macular edema is present in one eye and a different pathology in the other, documentation must clearly support medical necessity for both tests.

Yes. Interpretation and a signed report are mandatory for reimbursement.

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