Objective:
To inform ophthalmic practices about the new procedure code 92137 for OCT angiography (OCTA) and its implications for reimbursement.
Key Findings:
- CPT code 92137 is introduced for OCTA, enhancing retinal diagnostic services.
- OCTA eliminates the need for dye injections, making it safer and faster.
- Current coverage information from payors is limited, requiring careful patient communication regarding potential costs.
Interpretation:
The introduction of CPT code 92137 represents a significant advancement in retinal imaging technology, but practices must navigate uncertain reimbursement landscapes.
Limitations:
- Limited information on covered diagnosis codes (ICD-10-CM) for the new procedure.
- Few payors have updated their policies regarding the new code.
Conclusion:
Ophthalmic practices should familiarize themselves with the new OCTA code, monitor its use, and ensure proper documentation to facilitate reimbursement.
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