Medicare Reimbursement for Fundus Photography

Topic: Fundus Photos

Sponsor: Topcon Medical Systems

Updated: 05/01/2018

Topcon Healthcare

This FAQ addresses the following:

  1. Does Medicare cover fundus photography using Topcon’s fundus cameras and imaging systems?
  2. What documentation is required in the medical record?
  3. What CPT code describes fundus photography?
  4. What is the reimbursement for 92250?
  5. Is fundus photography bundled with other tests or services?
  6. Must the physician be present while the test is being performed?
  7. How often may fundus photography be repeated?
  8. What is the frequency of fundus photography in the Medicare program?
  9. May I ever bill the Medicare beneficiary directly for this service?
  10. Is there another separate CPT code for autofluorescence or red-free images?