How To Use CPT Code 92132

CPT 92132 describes the diagnostic imaging of the anterior segment of the eye, including interpretation and report. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92132?

CPT 92132 can be used to describe the diagnostic imaging of the anterior segment of the eye, specifically the front portion of the eye where the aqueous flows in and out, known as the anterior chamber. This code includes the interpretation and preparation of a report based on the data obtained from the imaging. It is used for the diagnosis and treatment of patients with symptoms indicating possible disease of the visual system.

2. Official Description

The official description of CPT code 92132 is: ‘Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral.’

3. Procedure

1. The provider performs diagnostic imaging of the anterior segment of the eye using optical coherence tomography (OCT).
2. Using a computer pointing device, the provider scans the anterior chamber of the eye and marks the relevant areas.
3. The provider interprets the images obtained from the scan and prepares a report based on their findings.

4. Qualifying circumstances

CPT 92132 is used for patients who present with symptoms indicating possible disease of the visual system. The procedure is performed on one or both eyes, depending on the patient’s condition. It is important to note that CPT 92132 should not be reported in conjunction with code 0730T, which is used for a different type of imaging. Additionally, for specular microscopy and endothelial cell analysis, code 92286 should be used, and for tear film imaging, code 0330T is appropriate.

5. When to use CPT code 92132

CPT code 92132 should be used when a provider performs scanning computerized ophthalmic diagnostic imaging of the anterior segment of the eye, including interpretation and report. It is important to ensure that the imaging is specific to the anterior segment and not other parts of the eye. This code should not be used for other types of imaging or procedures.

6. Documentation requirements

To support a claim for CPT 92132, the provider must document the following information:

• Patient’s symptoms indicating possible disease of the visual system
• Details of the diagnostic imaging procedure performed, including the use of optical coherence tomography
• Whether the procedure was performed on one or both eyes
• Interpretation of the images obtained from the scan
• Preparation of a report based on the findings

7. Billing guidelines

When billing for CPT 92132, it is important to use the appropriate modifiers to indicate whether the service is the professional component (modifier 26) or the technical component (modifier TC). If both components are provided by the same provider, no modifiers are necessary. It is also important to note that CPT 92132 should not be reported with code 0730T or in conjunction with other codes for different types of imaging.

8. Historical information

CPT 92132 was added to the Current Procedural Terminology system on January 1, 2011. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with symptoms of blurred vision and eye pain. The provider performs scanning computerized ophthalmic diagnostic imaging of the anterior segment of the eye using OCT. The images are interpreted, and a report is prepared based on the findings.
2. A patient with a history of glaucoma undergoes scanning computerized ophthalmic diagnostic imaging of the anterior segment of both eyes. The provider analyzes the images obtained from the scan and prepares a report.
3. A patient complains of redness and irritation in their eyes. The provider performs scanning computerized ophthalmic diagnostic imaging of the anterior segment of the affected eye. The images are interpreted, and a report is generated.
4. A patient with a suspected corneal abnormality undergoes scanning computerized ophthalmic diagnostic imaging of the anterior segment of both eyes. The provider reviews the images and prepares a report based on their findings.
5. A patient with a history of cataracts presents for a routine eye examination. The provider performs scanning computerized ophthalmic diagnostic imaging of the anterior segment of both eyes and interprets the obtained images to assess the condition of the lenses.