cpt 92136, cpt code 92136, 92136 cpt code

CPT Code 92136 | Description, Procedure & Billing Guidelines (2022)

You can use CPT 92136 for an eye-measuring procedure to determine the desired power of an intraocular lens after cataract removal.

1. What Is CPT Code 92136?

CPT 92136 covers a procedure in which a provider measures a patient’s eye(s) with a noninvasive method to calculate how much strength/power an IOL (intraocular lens) needs.

This procedure is often performed after cataract removal and will help the patient achieve their desired vision wishes.

2. Description

The CPT book describes CPT code 92136 as follows: “Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation.”

3. Procedure

The 92136 CPT code procedure begins with the provider aligning the measuring device to the patient’s eyes for automated measuring.

The measuring device uses noninvasive infrared laser light for eye measurement. This measuring the;

  • corneal curvature (keratometry);
  • anterior chamber depth;
  • lens thickness; and
  • axial length (front to back).

Then, the computer calculates how much power the intraocular lens (IOL) needs. This lens will replace the cloudy or opacified lens removed during cataract surgery and restore the patient’s vision.

4. How To Use CPT Code 92136

Before using the CPT code 92136, look into the payer’s policy and learn how they want you to report unilateral and bilateral services. Payment for CPT 92136 might be based on the global service and the technical compound billed with Modifier TC.

Don’t bill CPT 92136 as a bilateral service with modifier 50 or RT and LT or two units of this code.

The 92136 procedure can be performed for one eye if the patient only needs cataract surgery for one eye.

The payer may price the professional component as an unliteral service. Therefore, you need to indicate that CPT 92136 is a bilateral service by appending modifier 50 to the claim for accurate reimbursement.

Report CPT code 0330T for tear film imaging.

5. Resources

CPT Professional 2022

https://www.aapc.com/codes/coding-newsletters/my-ophthalmology-coding-alert/iol-mythbuster-bust-these-myths-to-collect-for-iol-power-calculations-170512-article

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56549&ver=12

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