cpt code for corneal topography icd 10

When to Bill corneal topography for cataract surgery?

92025 COMPUTERIZED CORNEAL TOPOGRAPHY, UNILATERAL OR BILATERAL, WITH INTERPRETATION AND REPORT Corneal topography will only be allowed for a pre-operative cataract patient if documentation supports that the patient has irregular astigmatism Corneal topography is to be billed only when the diagnosis of monocular diplopia is thought to be caused by a

What is corneal topography?

A: Corneal topography is a non-invasive imaging technique for mapping the surface curvature of the cornea. 1 Q: What diagnoses are typically covered and support a claim?

Does Medicare pay for corneal topography?

Medicare Reimbursement for Corneal Topography (Topcon Medical Systems) A financial waiver can take several forms. An Advance Beneficiary Notice of Noncoverage (ABN) is required for services where Part B Medicare coverage is ambiguous or doubtful, and may be useful where a service is never covered.

What is the CPT code for glaucoma in the eye?

One specializes in glaucoma, the other cornea. Q7. We recently treated a patient after hours as she got chemical powder in her eye and was in extreme pain. Our physician billed CPT code 99214 as well as a lavage of eyes and placed a bandage contact lens.

Can you bill for corneal topography?

Corneal topography is to be billed only when the diagnosis of monocular diplopia is thought to be caused by a corneal irregularity. Repeat testing is only indicated if a change of vision is reported in connection with one of the above listed conditions.

Is corneal topography covered by insurance?

Corneal topography is a covered service for the above indications when medically reasonable and necessary only if the results will assist in defining further treatment. It is not covered for routine follow-up testing.

Does Medicare pay for 92025?

Medicare bundles 92025 with 65730-65770. Medicare also bundles the technician exam, 99211, with the test. Q: How often may this test be repeated? A: In general, diagnostic tests are reimbursed when medically indicated.

What is corneal topography analysis?

Corneal topography produces a detailed, visual description of the shape and power of the cornea. This type of analysis provides your doctor with very fine details regarding the condition of the corneal surface. These details are used to diagnose, monitor, and treat various eye conditions.

How do I bill CPT 92136?

If a patient is having cataract surgery on both eyes, bill the initial test as 92136. Payment for this includes the technical component for both eyes and the professional component for the eye having surgery. When the patient comes back to have the other eye done, bill a 92136-26.

Does CPT code 92025 need a modifier?

Computerized corneal topography (CPT code 92025) is reimbursable to optometrists within their scope of practice. It requires medical review. CPT code 92025 must be billed with the appropriate modifiers. When billing for both the professional and technical service components, a modifier is neither required nor allowed.

Is CPT 92134 covered by Medicare?

92133 and 92134 are subject to Medicare's Multiple Procedure Payment Reduction (MPPR). This reduces the allowable for the technical component of the lesser-valued test when more than one test is performed on the same day.

What is procedure code 92083?

CPT code 92083: Visual field ex- amination, unilateral or bilateral, with interpretation and report; extended examination (e.g., Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30 degrees, or quantitative, automated threshold perimetry, Octopus program G-1, 32, or 42, ...

How do you do corneal topography?

A corneal topography test is quick and painless. During the test, you will sit in front of a lighted bowl that contains a pattern of rings, and rest your head against a bar. A series of data points will be collected, and a color coded image of your corneal shape will be generated on a computer screen.

What is the difference between corneal topography and corneal tomography?

Results: Topography is the study of the shape of the corneal surface, while tomography allows a three-dimensional section of the cornea to be presented. Corneal topographers can be divided into large- and small-cone Placido-based devices, as well as devices with color-LEDs.

Is Index corneal topography?

Indices for assessing irregularities in the corneal surface. The main use of corneal topography is the generation of indices that allows quantification of the level of irregularity of the corneal morphology, at a local or general level.

What is an axial map in topography?

Axial maps offer larger-sized images with flatter steep curvatures and steeper flat curvatures than tangential maps. They are helpful in viewing central curvature detail, but not in viewing peripheral details.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy L34008 Computerized Corneal Topography .

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What are the topographic patterns of keratoconus?

Major topographic patterns found in keratoconus include asymmetric bowtie, with or without inferior steepening, and skewed radial axes. However, once the diagnosis is made, serially corneal topography is of little value in following patients”.

What is corneal ectasia?

Corneal ectasias are associated with decreased uncorrected visual acuity (UCVA), an increase in ocular aberrations, and often a loss of best-corrected distance visual acuity. Corneal ectasias can result in significant ocular morbidity and may require surgical intervention ….

Does Aetna cover corneal topography?

Note: Aetna does not cover corneal topography if it is performed pre- or post-operatively in relation to a non-covered procedure (i.e., refractive eye surgery). Most Aetna benefit plans exclude coverage of refractive surgery. Please check benefit plan descriptions for details.

What is corneal topography?

A: Corneal topography is a non-invasive imaging technique for mapping the surface curvature of the cornea. 1. Q: What diagnoses are typically covered and support a claim? A: Corneal topography is most frequently used for the diagnosis and management of corneal diseases, disorders, abnormalities, or injuries. Covered diagnoses include irregular ...

What is the Medicare reimbursement for CPT 92025?

The 2018 national Medicare Physician Fee Schedule allowable is $38.88.

Is corneal topography covered by Medicare?

Corneal topography is subject to Medicare’s Multiple Procedure Payment Reduction (MPPR). This reduces the allowable for the technical component of the lesser-valued test when more than one test is performed on the same day.

Is refractive surgery covered by Medicare?

A: Refractive surgery for the purpose of reducing dependence on eyeglasses or contact lenses is not covered by Medicare, nor are the associated diagnostic tests, including corneal topography ( NCD §80.7 ).

Is it necessary to have a physician's supervision during an ophthalmic exam?

In our opinion, it seems reasonable to use general supervision since most non-invasive ophthalmic tests come under that requirement. General supervision means the procedure is furnished under the physician’s overall direction and control, but the physician’s presence is not required during the performance of the test.

Does Medicare cover eye exams?

Medicare covers diagnostic tests that are medically necessary according to Medicare guidelines. Medicare does not cover routine eye exams or tests, such as those for refractive error including regular astigmatism.