2025 CPT code 92025
(Active) Effective Date: N/A Medicine - Ophthalmology Feed
Computerized corneal topography, unilateral or bilateral, with interpretation and report.
Modifiers may be applicable.Common modifiers include 26 (professional component), TC (technical component), and GY (excluded service for Medicare). 59 may be used to indicate a distinct procedure. Modifier 91 can be appended if the test is repeated on the same day for medically necessary reasons.
Medical necessity must be established for reimbursement. Acceptable indications include, but are not limited to, keratoconus, irregular astigmatism, corneal transplant complications, and other corneal diseases or injuries. Routine screening for refractive errors is typically not covered.
The physician is responsible for ordering the test, interpreting the corneal map, diagnosing any corneal abnormalities, and determining the appropriate treatment plan.They are also responsible for ensuring accurate documentation of the procedure and findings in the medical record.While a technician may operate the topography equipment, the physician oversees the process and makes the final clinical decisions based on the results.
In simple words: This procedure creates a detailed map of your eye's surface to help diagnose conditions, plan surgeries, or fit contact lenses.A special camera takes pictures of your cornea, and a computer analyzes them to show its shape and curvature. The doctor then interprets the images to help determine the best treatment plan for you.
This code represents computerized corneal topography, a procedure used to map the curvature of the cornea. It includes the interpretation and report of the findings and can be performed on one or both eyes. This service is distinct from manual keratoscopy, which is typically bundled into other ophthalmological services.
Example 1: A patient presents with distorted vision. Corneal topography is performed to diagnose keratoconus., A patient is preparing for LASIK surgery. Corneal topography is performed to map the cornea and guide the surgical plan., A patient with a corneal transplant experiences complications. Corneal topography is used to monitor the graft and assess the need for further intervention.
Documentation must include the medical rationale for the test, the date of the test, reliability of the test if compromised, the test findings (corneal map), comparison with prior tests (if applicable), diagnosis (if determined), the impact on treatment and prognosis, and the physician's signature.
** As of December 1st, 2024, this information is current.However, coding and reimbursement policies are subject to change.It is important to verify the latest guidelines with your local Medicare Administrative Contractor (MAC) and other payers.
- Specialties:Ophthalmology, Optometry (in some cases)
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center