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Anterior segment imaging is a diagnostic procedure aimed at assessing the health and integrity of the cornea, iris, and other structures located in the anterior segment of the eye. This procedure is crucial for identifying potential abnormalities or diseases affecting these components, which are essential for maintaining clear vision. The cornea, which is the transparent front part of the eye, consists of multiple layers, including the epithelium, stroma, and a single layer of endothelial cells at the back. The endothelial layer plays a vital role in preserving visual acuity by regulating fluid balance within the cornea. It prevents aqueous humor from infiltrating the cornea and actively pumps excess fluid from the stroma into the anterior chamber, ensuring that the cornea remains in a dehydrated state necessary for clarity. However, endothelial cells are unique in that they do not regenerate; thus, if they are damaged due to disease or surgical intervention, the remaining cells must spread to cover a larger area. As the density of these cells diminishes, the endothelial layer loses its ability to maintain the cornea's dehydrated state, leading to corneal cloudiness and a subsequent decline in visual acuity. In the context of CPT® Code 92287, anterior segment imaging is enhanced through the use of fluorescein angiography. This technique involves the intravenous administration of sodium fluorescein, a dye that highlights the blood vessels in the anterior segment. Following the injection, a series of images are captured, starting approximately 8 to 10 seconds post-injection and continuing for up to one minute, with additional images potentially taken 5 to 10 minutes later. The resulting images are analyzed, and a comprehensive written interpretation of the findings is generated, providing valuable insights into the condition of the iris and other anterior segment structures.
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The procedure associated with CPT® Code 92287 is indicated for the evaluation of various conditions affecting the anterior segment of the eye. The following are specific indications for performing anterior segment imaging with fluorescein angiography:
The procedure for CPT® Code 92287 involves several key steps to ensure accurate imaging and interpretation of the anterior segment structures. The following outlines the procedural steps:
After the completion of the anterior segment imaging with fluorescein angiography, the patient may be monitored briefly to ensure there are no immediate adverse reactions to the fluorescein dye. Patients are typically advised to drink plenty of fluids to help flush the dye from their system. It is also important to inform patients that they may notice a temporary yellow discoloration of their urine due to the fluorescein. Follow-up appointments may be scheduled to discuss the results of the imaging and any necessary further evaluations or treatments based on the findings.
| Short Descr | ANT SGM IMG IR FLRSCN ANGRPH | Medium Descr | ANT SGM IMAGING W/I&R W/FLUORESCEIN ANGRPH | Long Descr | Anterior segment imaging with interpretation and report; with fluorescein 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) | 0 - No payment adjustment rules for multiple procedures 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) | M5C - Specialist - ophthalmology | MUE | 1 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GW | Service not related to the hospice patient's terminal condition | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| 2024-01-01 | Note | Medium description updated per Errata & Technical Corrections dated 2023-011-01. |
| 2013-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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