How do I bill CPT 92134?

Diagnostic Tests, and X-Rays Coding Information

1. CPT codes 92133 and 92134 are classified as unilateral or bilateral procedures.
2. Bill the test on a single line, place 00010 in Item 24G on the CMS 1500 claim form or its equivalent.
3. Per CPT guidelines, do not report 92133 and 92134 at the same patient encounter.

What diagnosis can be billed with 92134?

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.

How often can you bill CPT 92134?

4 times per year
A: 92133 is generally allowed once per year for glaucomatous patients, and then usually for early or moderate disease. 92134 is allowed more often – typically up to 4 times per year – or once per month in patients with retinal conditions undergoing active intravitreal drug treatment.

What modifier goes with 92134?

Coding Information 1. Use CPT code(s) 92133 or 92134 to report OCT, include any necessary modifiers (e.g. 26, TC).

What is the difference between CPT 92133 and 92134?

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.

Can 92134 and 92133 be billed together?

Can 92133 and 92134 be used on the same visit? A. No, they cannot be billed at the same patient encounter, per CPT instructions. Most likely, an NCCI bundle for the two codes will be issued.

What is the difference between 92133 and 92134?

Does Medicare pay for optical coherence tomography?

Q: Does Medicare cover SCODI of the posterior segment with Topcon’s 3D OCT-1 Maestro? A: Yes. Medicare covers SCODI-P if the patient presents with a complaint that leads you to perform this test or as an adjunct to management and treatment of a known disease.

What is a 92134 CPT code?

Group 1

Can 92014 and 92134 be billed together?

Can 92133 and 92134 be used on the same visit? A. No, they cannot be billed at the same patient encounter, per CPT instructions.

Does Medicare pay for 92133?

A: CMS utilization rates for claims paid in 2016 show that 92133 was associated with 9% of all ophthalmology office visits. That is, for every 100 exams for Medicare beneficiaries, Medicare paid for this service 9 times. For 92134, the 2016 utilization was 28%.

What is diagnosis code do you use for 92134?

92134 Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina; Note the distinction between a test performed on the optic nerve and the retina. OCTA is coded as 92134 (not 92235 or 92240) since there is no injection of fluorescein or ICG dye with OCTA.

What diagnosis codes can be used for 92134?

CPt code 92134 is used for scanning computerized ophthalmic diagnostic imaging, posterior segment, …. special ophthalmologic diagnostic tests interpretation & report. 92134), provocative tests for glaucoma (92140), ophthalmoscopies.

What does CPT code 92134 mean?

CPT 92134, Under Special Ophthalmological Services. The Current Procedural Terminology (CPT) code 92134 as maintained by American Medical Association, is a medical procedural code under the range – Special Ophthalmological Services.

What is diagnosis code 92134?

92134: Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina. By its code description 92134 is a “unilateral or bilateral” code. That means no modifiers RT or LT applicable.