FEB 17, 2017
Pro Tip: Watch for New Combined Code for ICG and FA
This year, CPT updates include the brand-new code 92242 Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral. Use this code when billing for both these procedures performed the same day.
Learn more about CPT code 92242 in Savvy Coder article CPT Code 92242—New Code for ICG and FA Is Most Striking Change to CPT 2017.
To report FA and ICG not performed at the same patient encounter, see 92235 and 92240 in 2017 Ophthalmic Coding: Learn to Code the Essentials and 2017 CPT: Complete Pocket Ophthalmic Reference. Note that you should not schedule the two procedures for different appointments to increase reimbursement. Audits will look for patterns like that which do not have medical justification.
CMS introduced this code due to a high volume of Medicare claims involving same-day use of codes 92235 Fluorescein angiography and 92240 ICG performance.