What is the CPT code and reimbursement rate for this exam?
The photography reimbursement code is CPT 92250. Using this code, the diabetic retinopathy exam has a stated reimbursement rate through Medicare and Medicaid that is mirrored by most private healthcare payors (HMOs, PPOs, etc.). The reimbursement rate differs for each state, is updated regularly and can sometimes vary within different parts of a state. Each time your practice takes a picture using the Fundus camera, a billable event has occurred. We help integrate billing with your existing practices, and reimbursement rates typically range from $40 – $80 per patient. We are happy to provide you a sample statement of remittance for CPT code.
