How To Use CPT Code 92134

CPT 92134 describes the scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye, along with 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 92134?

CPT 92134 can be used to describe the scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye. This procedure involves using optical coherence tomography to evaluate the retina for any signs of disease. The provider interprets the images obtained and prepares a report based on the findings. This code can be used for imaging performed on one or both eyes.

2. Official Description

The official description of CPT code 92134 is: ‘Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina.’ It is important to note that this code should not be reported at the same patient encounter as CPT code 92133, which is used for imaging of the optic nerve and retina.

3. Procedure

1. The patient is appropriately prepped and anesthetized for the procedure.
2. The provider uses optical coherence tomography to scan the posterior chamber of the eye.
3. During the scanning process, the provider utilizes a computer pointing device to mark the posterior chamber of the eye.
4. After the scanning is complete, the provider interprets the images obtained.
5. Based on the findings, the provider prepares a report detailing the results of the imaging.

4. Qualifying circumstances

CPT 92134 is typically used for patients who require evaluation of the retina in the posterior segment of the eye. This may be necessary for individuals with retinal diseases or conditions that affect the retina. The procedure is performed by a qualified healthcare professional who is trained in ophthalmic diagnostic imaging. It is important to note that CPT 92134 should not be reported at the same patient encounter as CPT 92133, which is used for imaging of the optic nerve and retina.

5. When to use CPT code 92134

CPT code 92134 should be used when a provider performs scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye. This code is appropriate for both unilateral and bilateral imaging. It is important to note that CPT 92134 should not be reported at the same patient encounter as CPT 92133, which is used for imaging of the optic nerve and retina.

6. Documentation requirements

To support a claim for CPT 92134, the provider must document the following information:

• Details of the patient’s prepping and anesthesia for the procedure
• Use of optical coherence tomography for scanning the posterior segment of the eye
• Utilization of a computer pointing device during the scanning process
• Interpretation of the obtained images
• Preparation of a report summarizing the findings

7. Billing guidelines

When billing for CPT 92134, ensure that the procedure is performed by a qualified healthcare professional who is trained in ophthalmic diagnostic imaging. It is important to note that CPT 92134 should not be reported at the same patient encounter as CPT 92133. If reporting only the professional component, append modifier 26 to the code. If reporting only the technical component, append modifier TC to the code, unless the technical component is provided by the hospital. In that case, do not append modifier TC. It is also important to note that CPT 92134 should not be reported with other codes for the same patient encounter.

8. Historical information

CPT 92134 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 undergoes scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to evaluate for signs of macular degeneration.
2. A provider performs scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to assess the progression of diabetic retinopathy in a patient.
3. A patient with a history of retinal detachment undergoes scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to monitor for any recurrence.
4. A provider performs scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to evaluate a patient with suspected macular edema.
5. A patient undergoes scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to assess the presence of any retinal tears or holes.
6. A provider performs scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to evaluate a patient with symptoms of retinal vein occlusion.
7. A patient with a family history of glaucoma undergoes scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to assess the optic nerve for any signs of glaucoma.
8. A provider performs scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to evaluate a patient with suspected macular pucker.
9. A patient with a history of uveitis undergoes scanning computerized ophthalmic diagnostic imaging of the retina in the posterior segment of the eye to monitor for any signs of inflammation.