tci Medicare Compliance & Reimbursement - 2008 Issue 20

Reader Question: Zoom In On Fluorescein Use When Treating Corneal Abrasions

Hint: Billing for a fluorescein stain is usually included as part of E/M service Question: Our physician performed a fluorescein staining for detecting a corneal abrasion. When he performed this in the emergency department (ED), he says he used a specific code. Has CPT introduced a fluorescein code? If not, should I use 92012? Answer: Your physician may be thinking of 92230 (Fluorescein angioscopy with interpretation and report). But keep in mind that this code requires an angioscopy, which involves injecting the fluorescein (an orange dye) into the arm, and it does not sound like your physician performed that...

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