Reimbursement for Fundus and Autofluoresence Photography

Topic: Fundus Photos

Sponsor: Canon

Updated: 02/18/2019


This FAQ addresses the following:

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