How To Use CPT Code 92025

CPT 92025 is a code used for computerized corneal topography, a diagnostic procedure that measures the curvature of the cornea. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 92025.

1. What is CPT 92025?

CPT 92025 is a medical billing code used to describe the diagnostic procedure of computerized corneal topography. This procedure involves measuring the curvature of the cornea using a computerized system, which helps in diagnosing various eye conditions and planning for surgeries such as LASIK or radial keratotomy.

2. 92025 CPT code description

The official description of CPT code 92025 is: “Computerized corneal topography, unilateral or bilateral, with interpretation and report.”

3. Procedure

The 92025 procedure involves the following steps:

  1. The patient is positioned in front of an illuminated sphere with a pattern of concentric rings.
  2. The patient looks into the sphere, and the pattern is reflected back from the cornea to a digital camera at the back of the sphere.
  3. The computer system measures the distortion of the concentric pattern caused by alterations in the corneal curvature.
  4. The data is stored and displayed on a monitor, often as a colored map of the corneal surface.
  5. The provider interprets the results and writes a report.

4. Qualifying circumstances

Patients who are eligible to receive CPT code 92025 services include those with the following conditions or circumstances:

  • Central corneal ulcers
  • Corneal dystrophy
  • Bullous keratopathy
  • Complications of a transplanted cornea
  • Diagnosis and monitoring of keratoconus
  • Difficult fitting of contact lenses
  • Post-traumatic corneal scarring

It is important to note that many insurers exclude routine preoperative or postoperative corneal topography for refractive surgery such as LASIK or radial keratotomy.

5. When to use CPT code 92025

CPT code 92025 should be used when a provider performs computerized corneal topography for diagnostic purposes or to plan for surgeries such as LASIK or radial keratotomy. It is appropriate to bill the 92025 CPT code when the patient has one of the qualifying conditions or circumstances mentioned in the previous section.

6. Documentation requirements

To support a claim for CPT 92025, the following information needs to be documented:

  • Patient’s medical history and relevant eye conditions
  • Indication for the procedure
  • Details of the procedure, including the equipment used and the measurements obtained
  • Interpretation of the results and any findings
  • Written report of the procedure and its findings

7. Billing guidelines

When billing for CPT code 92025, it is essential to follow the guidelines and rules set by the insurers. Some tips and codes that apply to CPT code 92025 include:

  • Do not report 92025 in conjunction with 6571065771.
  • Code 92025 is not used for manual keratoscopy, which is part of a single system evaluation and management or ophthalmological service.
  • Ensure that the documentation requirements are met to support the claim.

8. Historical information

CPT 92025 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Similar codes to CPT 92025

Five similar codes to CPT 92025 and how they differentiate from CPT 92025 are:

  • CPT 92020: This code is used for gonioscopy, a procedure that examines the drainage angle of the eye.
  • CPT 92060: This code is for sensorimotor examination, which evaluates eye alignment and movement.
  • CPT 92065: This code is for orthoptic/pleoptic training, a therapy used to improve visual function and coordination.
  • CPT 92081: This code is for visual field examination, which measures the patient’s peripheral vision.
  • CPT 92100: This code is for serial tonometry, a procedure that measures intraocular pressure over time.

10. Examples

Here are 10 detailed examples of CPT code 92025 procedures:

  1. A patient with a history of keratoconus undergoes computerized corneal topography to monitor the progression of the condition.
  2. A patient with a corneal transplant experiences complications, and the provider performs CPT 92025 to assess the corneal curvature.
  3. A patient with a central corneal ulcer undergoes CPT 92025 to evaluate the extent of the ulcer and plan for treatment.
  4. A patient with bullous keratopathy undergoes computerized corneal topography to assess the corneal curvature and plan for a possible corneal transplant.
  5. A patient with corneal dystrophy undergoes CPT 92025 to evaluate the corneal surface and plan for treatment.
  6. A patient with post-traumatic corneal scarring undergoes computerized corneal topography to assess the corneal surface and plan for possible surgical intervention.
  7. A patient with a history of difficult contact lens fitting undergoes CPT 92025 to evaluate the corneal curvature and determine the appropriate contact lens type.
  8. A patient with a suspected corneal abnormality undergoes computerized corneal topography as part of a comprehensive eye examination.
  9. A patient with a history of corneal surgery undergoes CPT 92025 to monitor the corneal curvature and assess the success of the surgery.
  10. A patient with unexplained vision problems undergoes computerized corneal topography to rule out corneal abnormalities as a cause of their symptoms.

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