Prior Auth Required

92250 - Fundus photography with interpretation Retrospective Review Medical Necessity Reviewed retrospectively only. Submit

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceFundus photography with interpretation Retrospective Review Medical Necessity Reviewed retrospectively only. Submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - physician or other qualified health care member's contract indicates coverage. professional. 92250 Fundus photography with interpretation Retrospective Review Medical Necessity Reviewed retrospectively only. Submit and report history and physical, documentation of medical necessity.

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.