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CPT 92228: Remote Retinal Imaging Interpretation and Report
CPT code 92228 covers remote interpretation and report of retinal imaging obtained at a location other than the interpreting provider’s site. This code matters nationally as telehealth-enabled retinal imaging expands access to specialty ophthalmic interpretation, supports monitoring of chronic retinal diseases, and interfaces with evolving telemedicine and imaging reimbursement policies. It provides a standardized mechanism for billing when image acquisition and interpretation are separated geographically.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical service represented by the code, the common sites of service, and which major payers cover or address this service in their policies. The publication also summarizes benchmarking context and policy considerations relevant to remote retinal imaging services, including coding guidance, documentation expectations, and payer variability in coverage and telehealth parity. Practical takeaways include where CPT code 92228 fits within retinal disease management workflows, how it is used to capture interpretation and reporting when images are obtained off-site, and what types of payers commonly recognize or exclude the service.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and specific payer policy details is noted elsewhere in the document.
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Billing Code Overview
CPT code 92228 describes remote interpretation and report of retinal imaging obtained from a location other than the reviewing provider’s location. The service involves acquisition of retinal images of one or both eyes at a separate site and subsequent remote interpretation by a qualified provider, with a written report prepared and delivered.
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Service type: Remote diagnostic imaging interpretation and reporting for retinal disease monitoring and diagnosis
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Typical site of service: Imaging performed at an off-site facility or clinic (not the interpreting provider’s location); interpretation performed remotely by the reviewing provider