Reimbursement Codes/92228

CPT I · AI imaging · Active

92228: Remote retinal imaging with physician review

Category I code for remote imaging of the retina with physician interpretation when automated analysis support may be used in the workflow, distinct from the autonomous analysis code 92229.

About this code

Category I code for remote imaging of the retina with physician interpretation when automated analysis support may be used in the workflow, distinct from the autonomous analysis code 92229. Active under the Medicare Physician Fee Schedule when coverage criteria are met. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.

Medicare statusActive under the Medicare Physician Fee Schedule when coverage criteria are met.

PaymentLocality PFS amounts only.

What changed

Not a focus of CY2027 OPPS SaMS. Remains a physician-office imaging pathway.

Who bills under it

Ophthalmology and primary care programmes using remote retinal imaging with physician review.

Code
92228
Code type
CPT I
Category
AI imaging
Rule status
Active

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