Prior Auth Required

92229 - RetinaVue™, Optomap®) Exception: Coverage for retinal

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRetinaVue™, Optomap®) Exception: Coverage for retinal
Procedure / Service Description

Diagnosis and - Remote Imaging Fundus 92227 Experimental, investigational, or Photography/Retinal telescreening (i.e., 92228 unproven RetinaVue™, Optomap®) 92229 Exception: Coverage for retinal telescreening is available only to enrollees diagnosed with diabetes. Refer

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.