How To Use CPT Code 92286

CPT 92286 describes the examination of the anterior segment of the eye using imaging techniques. 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 92286?

CPT 92286 can be used to describe the examination of the anterior segment of the eye using imaging techniques. This code is used when a provider uses an imaging device to assess the structures in the front portion of the eye, including the cornea and vasculature. The provider then interprets the data and generates a report of their findings.

2. Official Description

The official description of CPT code 92286 is: ‘Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis.’

3. Procedure

1. The provider uses an imaging device to examine the structures in the anterior segment of the eye, including the cornea and vasculature.
2. Specular microscopy is used to view and record images of the endothelial cell layer on the cornea.
3. The provider interprets the images and analyzes the endothelial cells for any abnormalities.
4. A report is generated summarizing the findings of the examination.

4. Qualifying circumstances

CPT 92286 is used when a provider examines the anterior segment of the eye using imaging techniques. This may be done to detect abnormalities in the vasculature, such as neovascularization. The procedure requires the use of a specular microscope to view and record images of the endothelial cell layer on the cornea. Qualifying circumstances may include patients with suspected neoplasia or other abnormalities in the anterior segment of the eye.

5. When to use CPT code 92286

CPT code 92286 should be used when a provider performs anterior segment imaging with interpretation and report using specular microscopy and endothelial cell analysis. This code is appropriate when the provider examines the structures in the anterior segment of the eye and generates a report of their findings. It should not be used for other types of eye examinations or imaging procedures.

6. Documentation requirements

To support a claim for CPT 92286, the provider must document the following information:

• Reason for the examination and any suspected abnormalities
• Details of the imaging techniques used, including the use of specular microscopy and endothelial cell analysis
• Date and time of the examination
• Interpretation of the images and analysis of the endothelial cells
• Summary of the findings in a report

7. Billing guidelines

When billing for CPT 92286, ensure that the provider has performed anterior segment imaging with interpretation and report using specular microscopy and endothelial cell analysis. Modifier 26 should be appended if reporting only the professional component, and modifier TC should be appended if reporting only the technical component. If the provider performs both the professional and technical components, no modifier is necessary. It is important to follow the specific guidelines of the payer when reporting this code.

8. Historical information

CPT 92286 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs anterior segment imaging with interpretation and report using specular microscopy and endothelial cell analysis to assess a patient with suspected neovascularization in the cornea.
2. During the examination, the provider uses an imaging device to examine the structures in the anterior segment of the eye and generates a report of their findings.
3. Specular microscopy is used to view and record images of the endothelial cell layer on the cornea, and the provider analyzes the cells for any abnormalities.
4. The provider documents the reason for the examination, the imaging techniques used, the interpretation of the images, and the summary of the findings in the report.
5. A patient with suspected abnormalities in the anterior segment of the eye undergoes anterior segment imaging with interpretation and report using specular microscopy and endothelial cell analysis.
6. The provider uses an imaging device to assess the structures in the front portion of the eye, including the cornea and vasculature.
7. Specular microscopy is performed to view and record images of the endothelial cell layer on the cornea, and the provider interprets the images and analyzes the cells for any abnormalities.
8. A report is generated summarizing the findings of the examination, including any detected neovascularization or other abnormalities.
9. During the examination, the provider uses imaging techniques to examine the anterior segment of the eye and generates a report of their findings.
10. Specular microscopy is used to view and record images of the endothelial cell layer on the cornea, and the provider interprets the images and analyzes the cells for any abnormalities.