Is 92250 a Bilateral Code

A CPT 92250 is defined as bilateral so reimbursement is for both eyes. The 2017 national Medicare Physician Fee Schedule allowable is $66.75.

Can 92250 be billed alone?

The article reports code 92250 would be reported either as part of a series of fundus images or as a stand-alone service. An analogous service provided by a doctor of optometry, obtaining red-free images at the time of color photography, is not coded separately.

Can 92201 and 92250 be billed together?

CMS materials use a “0” to flag mutu ally exclusive edits and a “1” to indicate that a pair of codes can be unbundled. should never be billed together: 92201 and 92202; 92201 and 92250 Fundus photography; or 92202 and 92250.

David Miller

David Miller

Executive Financial & Market Analyst

David Miller brings 15 years of experience in global economics, personal finance strategy, and market dynamics. He specializes in turning complex economic trends into actionable insights for everyday readers.

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