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CPT 92242: Dual-Dye Ophthalmic Angiography with Interpretation
CPT code 92242 represents dual-dye ophthalmic angiography: a diagnostic imaging procedure using two intravenous dyes to visualize retinal and choroidal blood vessels, with interpretation and report. This modality is used to evaluate vascular and optic nerve disorders, detect intraocular tumors, and plan certain laser therapies. Nationally, the code matters because it supports management of sight-threatening conditions where detailed vascular imaging guides diagnosis and treatment decisions.
Key payers covered in this summary include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context, coding and service-line characterization, and guidance on where this procedure is typically performed. The publication provides benchmarks and policy-relevant insights about utilization and coding practice, clinical indications for use, and payer coverage considerations where available.
The piece is designed to help revenue cycle staff, clinicians, and policy analysts understand the clinical role of CPT code 92242, common billing environments, and the administrative context affecting reimbursement and prior authorization. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 92242 describes a diagnostic ophthalmic angiography procedure in which two distinct fluorescent dyes are injected into one or both eyes and rapid-sequence photographic images are captured to highlight the retinal and choroidal blood vessels. The provider interprets the dynamic imaging frames and prepares a diagnostic report. Indications include disorders of the ocular vessels and optic nerve, intraocular tumors, and preparation for certain laser treatments.
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Service type: Diagnostic ophthalmic angiography with dual-dye injection and interpretation
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Typical site of service: Hospital outpatient department or ambulatory surgical/eye clinic with imaging capabilities