CPT Code 92134: SCODI Retina (OCT)
Scanning computerized ophthalmic diagnostic imaging (SCODI), posterior segment, with interpretation and report, unilateral or bilateral; retina
CPT 92134 reports SCODI (OCT) of the retina with interpretation and report. Used in diabetic retinopathy, macular degeneration, macular hole, vitreoretinal traction, and other retinal disease.
When to use CPT 92134
Use for OCT of the retina. Cannot be billed same day as 92133 (optic nerve SCODI).
Documentation requirements
- Medical indication
- Scan pattern and protocol
- Interpretation and comparison
- 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 92134
- Same-day 92133 conflict
- Diagnosis mismatch
- Frequency
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