Reimbursement Codes/92229

CPT I · AI imaging · Active

92229: Autonomous retinal imaging analysis

Category I code for point-of-care retinal imaging with automated analysis used to detect diabetic retinopathy and related findings without an ophthalmologist on site.

About this code

Category I code for point-of-care retinal imaging with automated analysis used to detect diabetic retinopathy and related findings without an ophthalmologist on site. Active Category I code under Medicare Part B 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 Category I code under Medicare Part B when coverage criteria are met.

PaymentPFS locality amounts only. No invented national figure.

Company-specific links omitted; Digital Diagnostics / IDx not present as a startup slug in our directory.

What changed

Not a focus of the CY2027 SaMS OPPS proposal; remains a physician-office and clinic imaging analysis code under PFS rules.

Who bills under it

Primary care and specialty clinics performing autonomous retinal screening.

Code
92229
Code type
CPT I
Category
AI imaging
Rule status
Active

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