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    v1.0.28
    OpenPayerBilling CodesPhysical ExaminationCPT cpt-2033f-retinal-imaging-validation-no-diabetic-retinopathy
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    CPT 2033F: Other Eye Imaging to Validate 7-Field Retinal Photos, No DR

    CPT code 2033F documents that an ophthalmology or optometry provider used other eye imaging to validate 7-standard-field stereoscopic retinal photograph results in a patient without diabetic retinopathy; this represents an diagnostic ophthalmic imaging review and documentation service typically provided as an imaging validation and interpretation activity in an ophthalmology or optometry clinic (outpatient office-based eye care) and is recorded in the patient’s medical chart.

    For related coverage guidance, see recent payer policy updates: DRG Newborn Inpatient Stays - Facility, Pediatric Preventive Screening, Pediatric Preventive Screening.

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    Clinical & Coding Specifications

    Clinical Context

    A 58-year-old patient with type 2 diabetes presents for routine diabetic eye screening. The patient has no prior documentation of diabetic retinopathy on previous seven‑standard-field stereoscopic retinal photography. The ophthalmology provider orders confirmatory ocular imaging (for example, wide‑field fundus imaging or optical coherence tomography used to validate the photographic exam) to corroborate the negative findings. During the visit the provider reviews the imaging, compares it to prior seven‑standard-field stereoscopic retinal photos, documents that no diabetic retinopathy is present, and records the validation results in the chart. Typical workflow includes patient check‑in, dilation as needed, acquisition of the retinal images by imaging staff or technician, provider review of the imaging results, and documentation of the validation encounter.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92250Fundus photography with interpretation and reportOften used to obtain standard two‑dimensional fundus photos; may be performed instead of or in addition to seven‑standard‑field stereoscopic photography
    92134Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateralUsed when OCT is performed to evaluate retinal structure and can complement validation of photographic findings
    92227Remote imaging for detection of retinal disease; with remote interpretation and report, unilateral or bilateralUsed for asynchronous telemedicine retinal screening programs where images are reviewed remotely to validate photographic screening results
    92002Intermediate ophthalmological service (new patient) — without general medical supervisionAn E/M‑type eye visit that may precede or follow imaging when additional examination is required
    92014Ophthalmological follow-up examination, established patient, comprehensive, with or without dilationFollow‑up clinical exam often performed on same day as imaging validation to document ocular status

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
    91Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…
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    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207W00000XOphthalmology PhysicianAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically train…
    174400000XSpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
    261QP2300XPrimary Care Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    207K00000XAllergy & Immunology PhysicianAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
    207ZF0201XForensic Pathology PhysicianA forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific c…
    163WD0400XDiabetes Educator Registered NurseNursing Service Providers · Registered Nurse
    207RA0000XAdolescent Medicine (Internal Medicine) PhysicianAn internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and so…
    207RG0100XGastroenterology PhysicianAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This…

    Related ICD-10-CM Codes

    23 rows

    ICD-10-CM CodeDescription
    E11.21Type 2 diabetes mellitus with diabetic nephropathy
    E11.311Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
    E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
    E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication
    G47.33Obstructive sleep apnea (adult) (pediatric)
    H10.9Unspecified conjunctivitis
    H11.10Unspecified conjunctival degenerations
    H25.9Unspecified age-related cataract
    H35.032Hypertensive retinopathy, left eye
    H35.033Hypertensive retinopathy, bilateral

    Showing 1–10 of 23

    Related Payer Policy Updates

    Specialty: Pediatrics/Neonatology1 / 3

    10 rows

    PolicyPayerEffective Date
    DRG Newborn Inpatient Stays - FacilityBlue Cross Blue Shield - Maine2026-10-01
    Pediatric Preventive ScreeningOscar Health2026-10-01
    Pediatric Preventive ScreeningBlue Cross Blue Shield - New Mexico2026-09-04
    Pediatric Oral Function TherapyAmbetter Georgia2026-08-01
    Prescribed Pediatric Extended Care (for Kentucky Only)UnitedHealthcare2026-08-01
    Pediatric Preventive Screeningblue cross blue shield - louisiana2026-08-01
    Pediatric Oral Function TherapyHealth Net2026-08-01
    Pediatric Oral Function Therapy (Coverage Criteria)Ambetter Nevada2026-08-01
    Pediatric Oral Function TherapyArizona Complete Health2026-08-01
    Pediatric Oral Function TherapyHealth Net2026-08-01

    Related Codes

    CPT-2000F-UNDEFINED-SERVICE

    CPT 2000F: No Summary found

    CPT-2001F-UNSPECIFIED-CLINICAL-SERVICE

    CPT 2001F: No Summary Available

    CPT-2002F-UNSPECIFIED-SERVICE

    CPT 2002F: No Summary found for this code

    CPT-2004F-UNDEFINED-SERVICE

    CPT 2004F: Clinical/Quality Measure (No Summary Available)

    CPT-2010F-UNSPECIFIED-SERVICE

    CPT 2010F: No Summary found for this code

    CPT-2014F-NO-SUMMARY-AVAILABLE

    CPT 2014F: Short-interval Oxygen Saturation Assessment

    CPT-2015F-ASTHMA-CONTROL-ASSESSMENT

    CPT 2015F: Asthma Control Assessment and Documentation

    CPT-2016F-ASTHMA-RISK-ASSESSMENT-AND-DOCUMENTATION

    CPT 2016F: Asthma Risk Assessment and Documentation

    CPT-2018F-UNDEFINED-SERVICE

    CPT 2018F: No Summary Found

    CPT-2019F-UNDEFINED-SERVICE

    CPT 2019F: Procedure, specific descriptor unavailable

    Showing 1–10 of 27

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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