How To Use CPT Code 2025F

CPT 2025F describes the procedure of taking seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, with interpretation by an ophthalmologist or optometrist documented and reviewed. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 2025F?

CPT 2025F can be used to describe the procedure of taking seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, with interpretation by an ophthalmologist or optometrist documented and reviewed. This code is used when the provider takes these photos and analyzes the findings to assess the patient’s eye health.

2. Official Description

The official description of CPT code 2025F is: ‘7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; without evidence of retinopathy (DM)’

3. Procedure

1. The ophthalmologist or optometrist dilates the patient’s eyes to ensure good quality stereo photography.
2. The provider takes seven standard field stereoscopic retinal photos using a fundus camera.
3. If the quality of the photos is not adequate, the provider takes additional images before reaching any conclusions.
4. The provider interprets the findings from the retinal photos and documents them in the patient’s medical record.

4. Qualifying circumstances

Patients eligible to receive CPT 2025F services are those with diabetes mellitus (DM) who do not have evidence of retinopathy. The procedure must be performed by an ophthalmologist or optometrist, who has the expertise to interpret the retinal photos and assess the patient’s eye health.

5. When to use CPT code 2025F

CPT code 2025F should be used when a provider takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, and the interpretation of the photos is documented and reviewed by an ophthalmologist or optometrist. This code should not be used if there is evidence of retinopathy or if the interpretation is not documented and reviewed.

6. Documentation requirements

To support a claim for CPT 2025F, the provider must document the following information:

• Patient’s diagnosis of diabetes mellitus (DM)
• Evidence that there is no retinopathy present
• Date of the procedure
• Interpretation of the retinal photos by the ophthalmologist or optometrist
• Review of the interpretation by the ophthalmologist or optometrist

7. Billing guidelines

When billing for CPT 2025F, ensure that the procedure is performed by an ophthalmologist or optometrist and that there is no evidence of retinopathy in the diabetic patient. This code should not be reported with other codes unless necessary. It is important to follow the guidelines provided by the payer and to accurately report the services provided.

8. Historical information

CPT 2025F was added to the Current Procedural Terminology system on October 1, 2019. There have been no updates to the code since its addition.

9. Examples

1. An ophthalmologist takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy and documents and reviews the interpretation.
2. An optometrist performs the procedure of taking seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy and documents and reviews the interpretation.
3. An ophthalmologist dilates the patient’s eyes and takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, documenting and reviewing the interpretation.
4. An optometrist dilates the patient’s eyes and takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, documenting and reviewing the interpretation.
5. An ophthalmologist ensures good quality stereo photography and takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, documenting and reviewing the interpretation.
6. An optometrist ensures good quality stereo photography and takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, documenting and reviewing the interpretation.
7. An ophthalmologist takes additional images to ensure adequate quality and then takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, documenting and reviewing the interpretation.
8. An optometrist takes additional images to ensure adequate quality and then takes seven standard field stereoscopic retinal photos in a diabetic patient without evidence of retinopathy, documenting and reviewing the interpretation.
9. An ophthalmologist interprets the findings from the retinal photos taken by another provider and documents and reviews the interpretation in a diabetic patient without evidence of retinopathy.
10. An optometrist interprets the findings from the retinal photos taken by another provider and documents and reviews the interpretation in a diabetic patient without evidence of retinopathy.