Print | ShareCPT Code: 92285 Region: 05
States covered: Florida, Puerto Rico, Virgin Islands
Title: External Ocular Photography
Category
Special Ophthalmological Services
Description
External ocular photography with interpretation and report for documentation of medical progress (e.g., close-up photography, slit lamp photography, goniophotography, stereo-photography)
External ocular photography is a non-invasive procedure used to photo-document conditions of the external structures of the eye (e.g., eyelids, lashes, sclera, conjunctiva and cornea). External photography techniques may also be used to document conditions related to structures of the anterior segment of the eye. These would include the anterior chamber, iris, crystalline lens and filtration angle.
External ocular photography is accomplished by using a close-up hand-held camera, a slit-lamp-integrated camera, photography through a goniophotography lens or with a close-up stereo camera. In any case, the resulting photographs may be prints, slides, videotapes or digitally stored.
This procedure may be indicated when photo-documentation is required to track the progression or lack of progression of an eye condition, or to document the progression of a particular course of treatment. While many conditions of the eye could be photographed, this procedure should not be used to simply document the existence of a condition in order to enhance the medical record.
Identification and/or follow-up of the following:
- Disorders of the iris and ciliary body
- Glaucoma
- Keratitis
- Corneal opacity and other disorders of the cornea
- Disorders of the conjunctiva
- Inflammation of the eyelids
- Other disorders of the eyelids
- Other disorders of the eye
- Neoplasm of the eye
- Injury to the eye
- Systemic disease
ICD-10 Diagnosis Codes
| ICD-10 Codes | Description |
|---|---|
| A18.52 | Tuberculous keratitis |
| A18.59 | Other tuberculosis of eye |
| B00.50 - B00.52 | Herpesviral ocular disease, unspecified - Herpesviral keratitis |
| B00.59 | Other herpesviral disease of eye |
| B02.30 - B02.39 | Zoster ocular disease, unspecified - Other herpes zoster eye disease |
| B60.12 | Conjunctivitis due to Acanthamoeba |
| B60.13 | Keratoconjunctivitis due to Acanthamoeba |
| C43.10 - C43.12 | Malignant melanoma of unspecified eyelid, including canthus - Malignant melanoma of left eyelid, including canthus |
| C44.101 - C44.199 | Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus - Other specified malignant neoplasm of skin of left eyelid, including canthus |
| C47.0 | Malignant neoplasm of peripheral nerves of head, face and neck |
| C49.0 | Malignant neoplasm of connective and soft tissue of head, face and neck |
| C69.00 - C69.02 | Malignant neoplasm of unspecified conjunctiva - Malignant neoplasm of left conjunctiva |
| C69.10 - C69.12 | Malignant neoplasm of unspecified cornea - Malignant neoplasm of left cornea |
| C69.40 - C69.42 | Malignant neoplasm of unspecified ciliary body - Malignant neoplasm of left ciliary body |
| D03.10 - D03.12 | Melanoma in situ of unspecified eyelid, including canthus - Melanoma in situ of left eyelid, including canthus |
| D04.10 - D04.12 | Carcinoma in situ of skin of unspecified eyelid, including canthus - Carcinoma in situ of skin of left eyelid, including canthus |
| D09.20 - D09.22 | Carcinoma in situ of unspecified eye - Carcinoma in situ of left eye |
| D22.10 - D22.12 | Melanocytic nevi of unspecified eyelid, including canthus - Melanocytic nevi of left eyelid, including canthus |
| D23.10 - D23.12 | Other benign neoplasm of skin of unspecified eyelid, including canthus - Other benign neoplasm of skin of left eyelid, including canthus |
| D31.00 - D31.02 | Benign neoplasm of unspecified conjunctiva - Benign neoplasm of left conjunctiva |
| D31.10 - D31.12 | Benign neoplasm of unspecified cornea - Benign neoplasm of left cornea |
| D31.40 - D31.42 | Benign neoplasm of unspecified ciliary body - Benign neoplasm of left ciliary body |
| D48.5 | Neoplasm of uncertain behavior of skin |
| D48.7 | Neoplasm of uncertain behavior of other specified sites |
| D49.2 | Neoplasm of unspecified behavior of bone, soft tissue, and skin |
| H00.011 - H00.039 | Hordeolum externum right upper eyelid - Abscess of eyelid unspecified eye, unspecified eyelid |
| H02.001 - H02.9 | Unspecified entropion of right upper eyelid - Unspecified disorder of eyelid |
| H05.20 | Unspecified exophthalmos |
| H10.011 - H11.9 | Acute follicular conjunctivitis, right eye - Unspecified disorder of conjunctiva |
| H15.001 - H15.129 | Unspecified scleritis, right eye - Nodular episcleritis, unspecified eye |
| H15.811 - H15.89 | Equatorial staphyloma, right eye - Other disorders of sclera |
| H15.9 | Unspecified disorder of sclera |
| H16.001 - H16.079 | Unspecified corneal ulcer, right eye - Perforated corneal ulcer, unspecified eye |
| H16.101 - H16.149 | Unspecified superficial keratitis, right eye - Punctate keratitis, unspecified eye |
| H16.211 - H16.239 | Exposure keratoconjunctivitis, right eye - Neurotrophic keratoconjunctivitis, unspecified eye |
| H16.251 - H16.259 | Phlyctenular keratoconjunctivitis, right eye - Phlyctenular keratoconjunctivitis, unspecified eye |
| H16.261 - H16.269 | Vernal keratoconjunctivitis, with limbar and corneal involvement, right eye - Vernal keratoconjunctivitis, with limbar and corneal involvement, unspecified eye |
| H16.301 - H16.339 | Unspecified interstitial keratitis, right eye - Sclerosing keratitis, unspecified eye |
| H16.401 - H16.449 | Unspecified corneal neovascularization, right eye - Deep vascularization of cornea, unspecified eye |
| H16.8 | Other keratitis |
| H17.00 - H17.9 | Adherent leukoma, unspecified eye - Unspecified corneal scar and opacity |
| H18.001 - H18.839 | Unspecified corneal deposit, right eye - Recurrent erosion of cornea, unspecified eye |
| H20.00 - H20.059 | Unspecified acute and subacute iridocyclitis - Hypopyon, unspecified eye |
| H21.00 - H21.1X9 | Hyphema, unspecified eye - Other vascular disorders of iris and ciliary body, unspecified eye |
| H21.211 - H21.29 | Degeneration of chamber angle, right eye - Other iris atrophy |
| H21.301 - H21.329 | Idiopathic cysts of iris, ciliary body or anterior chamber, right eye - Implantation cysts of iris, ciliary body or anterior chamber, unspecified eye |
| H21.341 - H21.359 | Primary cyst of pars plana, right eye - Exudative cyst of pars plana, unspecified eye |
| H21.40 - H21.43 | Pupillary membranes, unspecified eye - Pupillary membranes, bilateral |
| H21.501 - H21.569 | Unspecified adhesions of iris, right eye - Pupillary abnormality, unspecified eye |
| H40.1410 - H40.1494 | Capsular glaucoma with pseudoexfoliation of lens, right eye, stage unspecified - Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, indeterminate stage |
| H40.50X0 - H40.53X4 | Glaucoma secondary to other eye disorders, unspecified eye, stage unspecified - Glaucoma secondary to other eye disorders, bilateral, indeterminate stage |
| H40.89 | Other specified glaucoma |
| H42 | Glaucoma in diseases classified elsewhere |
| L12.1 | Cicatricial pemphigoid |
| Q10.3 | Other congenital malformations of eyelid |
| Q13.0 | Coloboma of iris |
| Q13.2 | Other congenital malformations of iris |
| S01.101A - S01.159S | Unspecified open wound of right eyelid and periocular area, initial encounter - Open bite of unspecified eyelid and periocular area, sequela |
| S02.30XA - S02.32XS | Fracture of orbital floor, unspecified side, initial encounter for closed fracture - Fracture of orbital floor, left side, sequela |
| S05.20XA - S05.92XS | Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter - Unspecified injury of left eye and orbit, sequela |
| T26.00XA - T26.92XS | Burn of unspecified eyelid and periocular area, initial encounter - Corrosion of left eye and adnexa, part unspecified, sequela |
Medical record documentation maintained by the performing physician must indicate the medical necessity of the external ocular photography. Office records/progress notes must document the complaint, symptomatology, or reason necessitating the test and must include the examination results/findings.
Photo documentation may be one of the following types: reproducible, prints, slides, digital photography, videotapes, or stereo photos.
All of the above may be requested to support the medical necessity of services selected for review.
1. It may be necessary to take a series of photographs at one session to document the patient’s progress. However, CPT code 92885, external ocular photography with interpretation and report for documentation of medical progress (e.g., close-up photography, slit lamp photography, goniophotography stereo-photography), should only be reported once for a series of photos taken at one session.
2. Report external ocular photography with CPT code 92285. This is a bilateral test, therefore no modifiers are required if both eyes are examined and a unit of “1” is placed in the unit field of the CMS 1500 form or its electronic equivalent.
It is expected that these services would be performed as indicated by current medical literature and/or standards of practice. When services are performed in excess of established parameters, they may be subject to review for medical necessity.