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  1. Without dilation, you cannot perform the fundus exam -- and without the fundus exam, you don't have a comprehensive service. Count 2 Visits as 1 Service CPT® states that a comprehensive …

  2. Because Medicare and most other payers assume that a dilated fundus exam will be a part of any comprehensive eye exam you perform and bill with 92004 (Ophthalmological services: medical …

  3. Raise Your Eye-Q - AAPC Knowledge Center

    Sep 1, 2013 · Report 92004 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits for the …

  4. Boost Your Understanding of Eye Examination Codes : Optometry

    Jun 25, 2025 · Examination of the fundus, which is the back of the eye including the retina, macula, and optic nerve, occurs when mydriatic (dilating) drops are instilled in the eye to force expansion of the …

  5. Find Your Way to Foolproof Fundus Photography Reimbursements

    Aug 1, 2002 · One way to bill fundus photography and other "diagnostic" tests is to bill the technical component (92250-TC) and the professional component (92250-26) separately.

  6. Check This Comprehensive Guide to Report Diagnostic Tests ... - AAPC

    May 17, 2021 · Documentation Is Key With Fundus Photography CPT® code: 92250 (Fundus photography with interpretation and report). What it is: The code describes the work of taking fundus …

  7. CPT® Code 92250 - Ophthalmoscopy Procedures - Codify by AAPC

    The Current Procedural Terminology (CPT ®) code 92250 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmoscopy Procedures.

  8. Of these typical components of a glaucoma exam, you can code fundus photography (92250), gonioscopy (92020, Gonioscopy [separate procedure]) and visual field examinations (92081-92083) …

  9. Three Tips for Getting Paid for Fundus Photos and Eye Exams

    Jan 1, 1999 · Getting paid for doing fundus photography and an examination on the same date can be difficult, if not impossible. As Brent E. Walker, MD, of Erie, PA writes, When I examine a glaucoma …

  10. Fundus Photography and Fluorescein Angiography Need Two Separate …

    Jun 1, 2000 · Fundus photography is used to document what the physician has seen upon his or her physical examination of the patient, says Lise Roberts, vice president of Health Care Compliance …