AUG 03, 2017
Telehealth Retinal Codes
Question: Our primary care group has a fundus camera. They want to perform the test and have our physician provide the interpretation and report. How do we submit these services?
Answer: Use the telehealth codes. The primary care physician submits CPT code 92227 Remote imaging for detection of retinal disease and the ophthalmologist submits 92228 Remote imaging for monitoring and management of active retinal disease. Not all payers have an allowable for these CPT codes; the patient may be responsible for payment. If the patient has Medicare Part B as their insurance, you should obtain an Advance Beneficiary Notice and append modifier -GA to each CPT code.
Learn more about reporting retinal codes in Retina Coding: Complete Reference Guide.