CPT® Code 0187T | Case2Code

Code deleted, see 92132.

Official Description

Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral

Common Language Description

Unilateral anterior segment scanning using computerized ophthalmic diagnostic imaging is a specialized procedure that employs advanced technology to visualize the structures of the anterior segment of the eye. This technique, often referred to as optical coherence tomography (OCT), is a noninvasive and noncontact imaging method that utilizes the principle of backscattering of light to create detailed images of the eye's internal structures. The anterior segment includes critical components such as the cornea, iris, and lens, which are essential for maintaining proper vision and eye health. This procedure is particularly valuable in diagnosing conditions such as glaucoma, which can lead to vision loss if not detected and managed early, as well as selected macular abnormalities that may affect visual acuity. During the procedure, the patient is positioned in front of the scanning device and is instructed to focus on a specific target within the system to ensure accurate imaging. The scanning device is then aligned and centered to capture the necessary images. Following the scan, the physician reviews the obtained images, utilizing specialized computerized software to analyze the data, identify key anatomical landmarks, and take precise measurements. This information is crucial for formulating an accurate diagnosis and developing an effective treatment plan. Ultimately, the physician interprets the scan results and generates a comprehensive written report detailing the findings, which can be used for further clinical decision-making.

1. Indications

The procedure of unilateral anterior segment scanning using computerized ophthalmic diagnostic imaging is indicated for the following conditions:

Glaucoma Diagnosis This procedure is utilized to detect and monitor glaucoma, a condition characterized by increased intraocular pressure that can lead to optic nerve damage and vision loss.
Macular Abnormalities It is also indicated for the assessment of selected macular abnormalities, which can affect the central vision and overall visual function.

2. Procedure

The procedure involves several key steps to ensure accurate imaging and analysis of the anterior segment of the eye:

Patient Positioning The patient is seated comfortably in front of the scanning device. Proper positioning is crucial for obtaining clear and accurate images. The patient is instructed to fixate on a target displayed within the scanning system, which helps to stabilize the eye during the imaging process.
Device Alignment The scanning device is carefully aligned and centered on the patient's eye. This step is essential to ensure that the images captured will accurately represent the structures of the anterior segment.
Image Acquisition Once the device is properly aligned, the scan is obtained. The computerized ophthalmic diagnostic imaging system uses light to capture detailed images of the anterior segment structures, allowing for high-resolution visualization.
Image Review After the scan is completed, the physician reviews the images obtained. This review is critical for identifying any abnormalities or areas of concern within the anterior segment.
Image Analysis The physician utilizes specialized computerized scanning software to analyze the images. This software aids in the interpretation of the data, helping to identify key landmarks and take necessary measurements that are vital for diagnosis and treatment planning.
Report Generation Finally, the physician interprets the results of the scan and compiles a written report detailing the findings. This report serves as an important document for further clinical decision-making and patient management.

3. Post-Procedure

Post-procedure care for unilateral anterior segment scanning typically involves minimal recovery time, as the procedure is noninvasive and does not require any special aftercare. Patients may resume their normal activities immediately following the scan. However, it is essential for the physician to discuss the results with the patient during a follow-up appointment, where the findings from the scan will be reviewed, and any necessary treatment plans or further evaluations will be outlined. Additionally, patients should be advised to report any unusual symptoms or changes in vision that may arise after the procedure.

Short Descr	OPHTHALMIC DX IMAGE ANTERIOR
Medium Descr	SCANNING CPTRIZED OPH DX IMG ANTERIOR I&R UNI
Long Descr	Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Significant Procedure, Not Discounted When Multiple
Type of Service (TOS)	9 - Other Medical Items or Services
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.
CCS Clinical Classification	18 - Diagnostic procedures on eye