MAR 23, 2017
Billing Commercial Payers CPT code 92242 FA/ICG
Question: We own the new fluorescein/indocyanine-green angiography equipment and have found that many commercial plans do not recognize the new code for combined FA and ICG. What should we do?
Answer: Sadly, just because CPT publishes a code doesn’t guarantee payment from all payers. When participating with the plan, you must follow directions in the remittance advice or appeal using data from the equipment company.
One approach is to ask the commercial plan what the allowable is before performing the test. Then you’ll know ahead of time if it is covered/payable or not.