How To Use CPT Code 92230

CPT 92230 describes the procedure of fluorescein angioscopy with interpretation and report. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92230?

CPT 92230 can be used to describe the procedure of fluorescein angioscopy with interpretation and report. This code is used when a healthcare provider injects a special dye into a patient’s vein, which causes the blood vessels in the eye to stand out in photographic images. The provider then takes photos or videos of the blood vessels of the fundus, or inner back part of the eye, to examine the structure of the retinal blood vessels and detect any leaks. The provider interprets the findings and prepares a report summarizing the pertinent findings and comparing them to any previous studies.

2. Official Description

The official description of CPT code 92230 is: ‘Fluorescein angioscopy with interpretation and report.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. A healthcare provider injects a fluorescent dye into a patient’s vein.
3. The dye reaches the retina in 10 to 15 seconds after injection and can be seen for 10 seconds.
4. The provider takes photos or videos of the blood vessels of the fundus to examine the structure of the retinal blood vessels and detect any leaks.
5. The provider interprets the images and prepares a report summarizing the pertinent findings and comparing them to any previous studies.
6. The report also documents how the test will affect clinical management or prognosis.

4. Qualifying circumstances

CPT 92230 is used for patients with indications such as macular diseases, retinal vascular diseases, inflammatory retinal or choroidal diseases, optic nerve disorders, tumors, and preparation for some forms of laser treatment. The procedure must be performed by a healthcare provider who is qualified to interpret the findings and prepare a report.

5. When to use CPT code 92230

CPT code 92230 should be used when a healthcare provider performs fluorescein angioscopy with interpretation and report. It is appropriate to bill this code when the procedure is performed to examine the structure of the retinal blood vessels and detect any leaks. This code should not be used for other types of eye examinations or procedures.

6. Documentation requirements

To support a claim for CPT 92230, the healthcare provider must document the following information:

• Patient’s indications for the procedure
• Details of the procedure, including the injection of the fluorescent dye and the imaging of the blood vessels
• Interpretation of the images and findings
• Comparison to any previous studies
• Summary of pertinent findings
• Documentation of how the test will affect clinical management or prognosis

7. Billing guidelines

When billing for CPT 92230, ensure that the procedure is performed by a qualified healthcare provider who is capable of interpreting the findings and preparing a report. There are no specific guidelines regarding reporting CPT 92230 with other codes. However, it is important to accurately document the procedure and its findings to support the claim.

8. Historical information

CPT 92230 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient with macular degeneration undergoes fluorescein angioscopy to examine the structure of the retinal blood vessels and detect any leaks.
2. A patient with diabetic retinopathy undergoes fluorescein angioscopy to assess the severity of the disease and plan appropriate treatment.
3. A patient with uveitis undergoes fluorescein angioscopy to evaluate the inflammatory changes in the retina and choroid.
4. A patient with optic neuritis undergoes fluorescein angioscopy to assess the blood flow in the optic nerve.
5. A patient with a suspected retinal tumor undergoes fluorescein angioscopy to determine the extent and characteristics of the tumor.
6. A patient scheduled for laser treatment undergoes fluorescein angioscopy to guide the laser treatment and ensure accurate targeting of the abnormal blood vessels.
7. A patient with a history of retinal detachment undergoes fluorescein angioscopy to assess the integrity of the retinal blood vessels and detect any signs of leakage.
8. A patient with a retinal vein occlusion undergoes fluorescein angioscopy to evaluate the extent and severity of the occlusion.
9. A patient with a history of retinal artery occlusion undergoes fluorescein angioscopy to assess the blood flow in the retinal arteries.
10. A patient with a suspected choroidal neovascularization undergoes fluorescein angioscopy to confirm the presence of abnormal blood vessels and plan appropriate treatment.