The coding top 10 for March highlights questions related to the brand new code for ICG and FA, CPT code 92242 - the most striking CPT change for 2017.

1. Changes to CPT Codes for FA and ICG 
   Q1. How did CPT codes 92235 and 92240 change Jan. 1, 2017?
2. Using CPT Code 92242 without New Equipment 
   Q2. We do not own the new equipment that performs both fluorescein angiography and indocyanine-green angiography. However, we sometimes still perform both tests on the same patient, same day. Do we submit both 92235 and 92240 or only 92242?
3. Using Modifiers with ICG and FA 
   Q3. Since payment for 92235 and 92240 is now bilateral instead of unilateral, should we append either modifier -RT or -LT, or modifier -52 showing reduced services?
4. Billing Commercial Payers CPT code 92242 FA/ICG 
   Q4. 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?
5. Commercial Denial for Fluorescein Angiography 
   Q5. The commercial plan refused to pay CPT code 92235 Fluorescein angiography (includes multiframe imaging) with interpretation and report without any modifier. We are concerned that if we add -RT or -LT or modifier -50 for bilateral performance, the payer can come back later and recoup the payment.
6. CCI edits for CPT code 92242 FA/ICG 
   Q6. Do CCI bundling edits affect 92242?
7. Unbundling Fundus Photography with Combined FA/ICG 
   Q7. When is it appropriate to unbundle 92250 Fundus photography with 92242 Fluorescein angiography and indocyanine-green angiography?
8. Supervision Level for CPT Code 92242 FA/ICG
   Q8. What is the level of supervision for 92242?
9. Frequency Edits for Combined FA and ICG 
   Q9. Are there frequency edits indicating how often you can perform 92242 annually?
10. CCI Bundle for Fluorescein Angiography and Fundus Photography
    Q10. Are CPT codes 92235 Fluorescein angiography and 92250 Fundus photography bundled?