CPT Code 92133: SCODI Optic Nerve (OCT)
Scanning computerized ophthalmic diagnostic imaging (SCODI), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve
CPT 92133 reports SCODI (typically OCT) of the optic nerve with interpretation and report. Primary use is glaucoma diagnosis, monitoring, and optic nerve evaluation.
When to use CPT 92133
Use for OCT of the optic nerve in glaucoma, glaucoma suspect, optic neuropathy, or optic nerve pathology. Cannot be billed same day as 92134 (retina SCODI).
Documentation requirements
- Medical indication
- Machine and protocol
- Interpretation comparing to normative database and prior scans
- Impact on management
Reimbursement
$40 to $55
National averages only. Rates vary by locality, payer, and fee schedule. Verify with your contracted payers.
Common modifiers
- -26
- -TC
Common denial reasons for CPT 92133
- Same-day 92134 bundling
- Frequency limits
- Diagnosis not supported
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