What is extended ophthalmoscopy?
A. Extended ophthalmoscopy (EO) is a detailed examination and drawing of the fundus that goes be yond the standard funduscopy of an office visit. It is identified in CPT as 92225 (Ophthalmoscopy, extended, with retinal drawing (e.g., for retinal detachment, melanoma), with interpretation and report; initial) and 92226 (subsequent). CPT goes on to state, “Routine ophthalmoscopy is part of general and special ophthalmologic services whenever indicated. It is a non-itemized service and is not reported separately.” Code 92225 pertains to the initial evaluation of a disease, while 92226 in volves the repeated, or subsequent, evaluation of the same problem made worse by progression of the underlying pathology. Sometimes 92225 may be used more than once per eye. Even though 92225 has been performed on an eye, it is possible to do another initial EO for a new condition. EO is indicated for a wide range of posterior segment pathology when the extent of the examination is greater than that requi
