tci Part B Insider - 2011 Issue 26

Reader Question: 92025: Corneal Topography Shouldn't Require Unlisted

Question: What are the rules are for coding corneal topography? I can't find a CPT® code for it. Should I just use 92499? The corneal topography was done on a keratoconus patient.Answer: For corneal topography, report 92025 (Computerized corneal topography, unilateral or bilateral, with interpretation and report). You do not need to resort to 92499 (Unlisted ophthalmological service or procedure). Check with your carriers for their rules on demonstrating medical necessity for this procedure. For example, Medicare Part B carrier Cigna has published a local coverage determination (LCD) listing these diagnoses for which 92025 would be medically necessary:367...

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