© Copyright 2025 American Medical Association. All rights reserved.
Computerized ophthalmic diagnostic imaging, specifically utilizing optical coherence tomography (OCT), is a sophisticated imaging technique employed to assess the posterior segment of the eye. This procedure can be performed unilaterally or bilaterally and includes the interpretation and reporting of findings. The primary focus of this imaging is the retina, and it encompasses OCT angiography (OCT-A), which provides detailed insights into the retinal microvasculature. OCT is a noninvasive and noncontact method that leverages the backscattering of light to visualize the intricate structures of the posterior segment, allowing for a comprehensive evaluation of retinal health. This imaging modality is particularly valuable in diagnosing and monitoring conditions such as retinal vascular diseases and macular edema, with a significant emphasis on diabetic retinopathy. By examining retinal structure and thickness, OCT aids in the detection of ischemia and choroidal neovascularization, which are critical factors in the management of exudative macular degeneration. The procedure involves the patient being positioned in front of a scanning device, where they are instructed to focus on an internal target. This setup enables the acquisition of multiple radial scans of the retina and posterior segment, capturing thousands of images per second to analyze the microvasculature. The resulting digitized images are displayed on a monitor, allowing for precise calculations of retinal thickness and other relevant measurements. The physician interprets these images, reformats the OCT-A data, and compares it with non-angiographic images to evaluate the vasculature at various retinal and choroidal levels, identifying any signs of ischemia, microaneurysms, or neovascularization. The findings are meticulously documented in a report that becomes part of the patient's medical record, ensuring a thorough understanding of the patient's ocular health.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of computerized ophthalmic diagnostic imaging using optical coherence tomography (OCT) is indicated for various conditions affecting the retina. The following are the primary indications for performing this imaging:
The procedure for computerized ophthalmic diagnostic imaging using OCT involves several key steps to ensure accurate and comprehensive assessment of the retina:
Post-procedure care following computerized ophthalmic diagnostic imaging with OCT is generally minimal due to the noninvasive nature of the technique. Patients may resume their normal activities immediately after the procedure. However, it is essential for the physician to discuss the results with the patient during a follow-up appointment, where the interpreted findings will be reviewed. Any necessary treatment plans or further diagnostic steps will be outlined based on the results obtained from the imaging. Additionally, if prior studies were reviewed and compared, this information may also be discussed to provide a comprehensive understanding of the patient's ocular health over time.
Short Descr | CPTRZ OPH IMG PST SG RTA OCT | Medium Descr | CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH | Long Descr | Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 7 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic ophthalmology services apply... | Bilateral Surgery (50) | 2 - 150% payment adjustment 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 | STV-Packaged Codes | Type of Service (TOS) | Q - Vision Items or Services | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. |
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2025-01-01 | Added | Code Added. |