icd 9 code for oct macular ou

by Dr. Emile Kihn 4 min read

Suppose you have an “old” ICD-9 policy that pays for OCT with a diagnosis of retinal or macular edema of various types. In ICD-9 this was done via one of three codes: 362.53 (cystoid macular edema), 362.83 (retinal edema), or 362.07 (diabetic macular edema [DME]).Nov 1, 2015

Full Answer

What is the ICD 9 code for macular degeneration?

Macular degeneration (senile), unspecified. Short description: Macular degeneration NOS. ICD-9-CM 362.50 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 362.50 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 10 code for OCTA?

Next is 92240 – Indocyanine green angiography, with interpretation and report. Neither code is an accurate description of OCTA because neither fluorescein nor ICG dyes are used.

What is the ICD 9 code for retinal disorders?

Short description: Retinal disorders NEC. ICD-9-CM 362.89 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 362.89 should only be used for claims with a date of service on or before September 30, 2015.

What is the CPT code for an Oct procedure?

1. Use CPT code(s) 92133 or 92134 to report OCT, include any necessary modifiers (e.g. 26, TC). 1. CPT codes 92133 and 92134 are classified as unilateral or bilateral procedures.

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What is the CPT code for OCT for the retina?

The CPT description for OCT (92134) for the retina was given above in the discussion of “unilateral or bilateral.”. It does contain the phrase “unilateral or bilateral,” with a bilateral surgery indicator of 2, and it is therefore billed only once regardless of whether one or both sides are tested.

What is CPT code 92134?

As you can see, code 92134 in the CPT book is indented under 92133 and simply states “retina,” but it is read as follows: Scanning computer diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina.

What is the optical coherence tomography?

Optical Coherence Tomography (OCT) a non-invasive, non-contact imaging technique.

Is glaucoma a disease?

Glaucoma. Glaucoma is a leading cause of blindness, and a disease for which treatment methods clearly are available and in common use. Glaucoma also is diagnostically challenging. Almost 50% of glaucoma cases remain undetected.

Does Scodi detect glaucoma?

Because SCODI detects glaucomatous damage to the nerve fiber layer or optic nerve of the eye, it can distinguish patients with glaucomatous damage irrespective of the status of intraocular pressure (IOP). It may separate patients with elevated IOP and early glaucoma damage from those without glaucoma.

Is retinal thickness a diagnostic trait?

Retinal thickness is directly correlated to ocular disease, including retinal disorders and glaucoma. In contrast, Scanning Laser Polarimetry is not an appropriate diagnostic technique for the management of retinal disorders.

Can OCT detect retinal changes?

Clinical evidence shows that the resolution of time domain OCT instruments is not sufficient to detect early toxic retinal changes. Because of that, spectral domain-optical coherence tomography (SD-OCT) is expected to be used to detect retinal changes that are due to the use of CQ or HCQ.

What is right macular degeneration?

Right macular degeneration. Clinical Information. A condition in which parts of the eye cells degenerate, resulting in blurred vision and ultimately blindness. A condition in which there is a slow breakdown of cells in the center of the retina (the light-sensitive layers of nerve tissue at the back of the eye).

What is the term for the damage to the eye cells?

injury (trauma) of eye and orbit ( S05.-) A condition in which parts of the eye cells degenerate, resulting in blurred vision and ultimately blindness. A condition in which there is a slow breakdown of cells in the center of the retina (the light-sensitive layers of nerve tissue at the back of the eye).

What is the OCTA code for angiography?

Next is 92240 – Indocyanine green angiography, with interpretation and report. Neither code is an accurate description of OCTA because neither fluorescein nor ICG dyes are used.

What is OCTA CPT?

OCTA represents an advance in the current ophthalmic imaging technology. It provides additional information, saves time, and lowers risk for the patient associated with intravenous injections of dye. Within CPT, 92134 is broadly defined so it includes OCTA. The coverage indications listed in Medicare local coverage determination policies and by third-party payers for CPT 92134 apply to OCTA. No other CPT code is needed, and collecting additional payment from the patient is problematic for many reasons. RP

Why is OCTA important?

Because OCTA provides additional information beyond traditional OCT of the retina and macula, it is more useful to the ophthalmologist or optometrist. From the patient’s perspective, avoiding an intravenous injection is preferable.

What is the CPT code for 92134?

Adding CPT code 92499 to a claim for 92134 represents a billing error. If the payer reimburses both procedures, it constitutes an overpayment; only 92134 should be reimbursed. If the third party payer pays 92134 and denies 92499, no overpayment exists.

Which companies offer OCTa?

Several companies, including Optovue (Fremont, CA), Heidelberg Engineering (Franklin, MA), and Carl Zeiss Meditec (Dublin, CA), currently offer OCTA. An article in the International Journal of Retina and Vitreous describes OCTA as “a new, non-invasive imaging technique that generates volumetric angiography images in a matter of seconds.”

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