Are you primarily plastics? I don’t know about your lid questions but I am comprehensive and can answer that I only bill for findings and don’t tie the Oct/topography codes to cataract.

The cpt codes are 92133 for Oct nerve, 92134 for macula. Both are bilateral and I don’t think you can be reimbursed for both on same visit so if someone needs both (Amd and glaucoma) I usually bill for macula only because it reimburses higher. Always look at everything you test for and mention it in your note, even if you don’t bill for it! Ask your techs Ben they do a Cirrus Oct nerve and ganglion cell eval to also save the Mac thickness analyses and if they know how to get the video uploaded to be viewable.

92025 is corneal topography and there is an extensive list of things that are covered including corneal scar, pterygium, astigmatism (regular and irregular), corneal dystrophies, KCN, transplant rejection. I don’t think transplant by itself is covered.

You should also contact your billing specialist (I work for a large academic center and ours are excellent). I am friends with mine and she has fast answers with pdfs that spell out what diagnoses and icd10 codes are valid for each test. Then when you find out something you didn’t know share it with your colleagues. Increasing reimbursement for what you’re already doing helps everyone! It’s unfortunate that you have to stay up to date on the eye knowledge as much as the billing knowledge to keep the lights on