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CPT Code 92134: Overview

Code: 92134
Description: Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina
Context: This code is used for computerized imaging of the retina, which includes the use of scanning technology like OCT (Optical Coherence Tomography) for the posterior segment of the eye. It is typically used to assess retinal conditions and diseases.

Guidelines for Proper Use

  • Specific Use for Retinal Imaging: Apply 92134 for scanning computerized ophthalmic diagnostic imaging focused on the retina. This includes capturing detailed images of the posterior segment of the eye.
  • Documentation of Imaging and Interpretation: Ensure the healthcare provider’s documentation includes details of the imaging procedure, the interpretation of the results, and a comprehensive report.
  • Unilateral or Bilateral Application: This code can be used for imaging of either one eye (unilateral) or both eyes (bilateral) without needing separate coding.
  • Exclusion of Other Ophthalmic Imaging: Do not use 92134 for imaging of the anterior segment or for procedures like fundus photography. It is specific to scanning of the posterior segment.
  • Compliance with Ophthalmic Imaging Guidelines: Use 92134 in accordance with standard ophthalmic imaging protocols and payer-specific rules.

Common Misuses of 92134

  • Using for Anterior Segment Imaging: Misuse occurs if 92134 is applied to imaging of the anterior segment of the eye, as this code is specific to the posterior segment.
  • Confusion with Other Imaging Modalities: Applying 92134 to procedures like traditional fundus photography or fluorescein angiography, which have their own specific codes.
  • Omission of Interpretation and Report: It’s essential to include the interpretation and reporting as part of the procedure for this code to be applicable.
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