Medical Billing Forum
Coding => Coding => : Gayle33 January 26, 2016, 12:02:51 PM
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Is extended ophthalmoscopy 92225 & fundus photo 92250 covered procedures for E11.9 (diabetes w/out complications) and/or I10 (Hypertension) ?
Thank you
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What insurance carrier? It may vary by plan.
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Medicare and Anthem B/C B/S
Thank you
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I'm not sure about Anthem but with Medicare you will want to look for the LCD for both 92225 & 92250. The LCD will list what ICD codes are billable for those procedure codes. Go to your MAC website and go to the LCD section. Do a search for '92225' and '92250' and you should be able to find them. Our LCD for NY is: http://www.mediquant.com/policy/L33567_20141001.pdf