Coverage Indications, Limitations, and/or Medical Necessity
External ocular photography is a non-invasive procedure used to photo-document conditions of the external structures of the eye (e.g., eyelids, lashes, sclera, conjunctiva and cornea). External photography techniques may also be used to document conditions related to structures of the anterior segment of the eye. These would include the anterior chamber, iris, crystalline lens and filtration angle.
External ocular photography is accomplished by using a close-up hand-held camera, a slit-lamp-integrated camera, photography through a goniophotography lens or with a close-up stereo camera. In any case, the resulting photographs may be prints, slides, videotapes or digitally stored.
This procedure may be indicated when photo-documentation is required to track the progression or lack of progression of an eye condition, or to document the progression of a particular course of treatment. While many conditions of the eye could be photographed, this procedure should not be used to simply document the existence of a condition in order to enhance the medical record.
CPT/HCPCS Codes 92285 Eye photography
ICD-10 Codes that Support Medical Necessity
A18.52 Tuberculous keratitis
A18.59 Other tuberculosis of eye
B00.50 Herpesviral ocular disease, unspecified
B00.51 Herpesviral iridocyclitis
B00.52 Herpesviral keratitis
B00.59 Other herpesviral disease of eye
B02.30 Zoster ocular disease, unspecified
B02.31 Zoster conjunctivitis
B02.32 Zoster iridocyclitis
B02.33 Zoster keratitis
B02.34 Zoster scleritis
B02.39 Other herpes zoster eye disease
B60.12 Conjunctivitis due to Acanthamoeba
B60.13 Keratoconjunctivitis due to Acanthamoeba
C43.10 Malignant melanoma of unspecified eyelid, including canthus
C43.11 Malignant melanoma of right eyelid, including canthus
C43.12 Malignant melanoma of left eyelid, including canthus
C44.101 Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus
C44.102 Unspecified malignant neoplasm of skin of right eyelid, including canthus
C44.109 Unspecified malignant neoplasm of skin of left eyelid, including canthus
C44.111 Basal cell carcinoma of skin of unspecified eyelid, including canthus
C44.112 Basal cell carcinoma of skin of right eyelid, including canthus
C44.119 Basal cell carcinoma of skin of left eyelid, including canthus
C44.121 Squamous cell carcinoma of skin of unspecified eyelid, including canthus
C44.122 Squamous cell carcinoma of skin of right eyelid, including canthus
C44.129 Squamous cell carcinoma of skin of left eyelid, including canthus
C44.191 Other specified malignant neoplasm of skin of unspecified eyelid, including canthus
C44.192 Other specified malignant neoplasm of skin of right eyelid, including canthus
C44.199 Other specified malignant neoplasm of skin of left eyelid, including canthus
C47.0 Malignant neoplasm of peripheral nerves of head, face and neck
C49.0 Malignant neoplasm of connective and soft tissue of head, face and neck
C69.00 Malignant neoplasm of unspecified conjunctiva
C69.01 Malignant neoplasm of right conjunctiva
C69.02 Malignant neoplasm of left conjunctiva
C69.10 Malignant neoplasm of unspecified cornea
C69.11 Malignant neoplasm of right cornea
C69.12 Malignant neoplasm of left cornea
C69.40 Malignant neoplasm of unspecified ciliary body
C69.41 Malignant neoplasm of right ciliary body
C69.42 Malignant neoplasm of left ciliary body
D03.10 Melanoma in situ of unspecified eyelid, including canthus
D03.11 Melanoma in situ of right eyelid, including canthus
D03.12 Melanoma in situ of left eyelid, including canthus
D04.10 Carcinoma in situ of skin of unspecified eyelid, including canthus
D04.11 Carcinoma in situ of skin of right eyelid, including canthus
D04.12 Carcinoma in situ of skin of left eyelid, including canthus
D09.20 Carcinoma in situ of unspecified eye
D09.21 Carcinoma in situ of right eye
D09.22 Carcinoma in situ of left eye
D22.10 Melanocytic nevi of unspecified eyelid, including canthus
D22.11 Melanocytic nevi of right eyelid, including canthus
D22.12 Melanocytic nevi of left eyelid, including canthus
D23.10 Other benign neoplasm of skin of unspecified eyelid, including canthus
D23.11 Other benign neoplasm of skin of right eyelid, including canthus
D23.12 Other benign neoplasm of skin of left eyelid, including canthus
D31.00 Benign neoplasm of unspecified conjunctiva
D31.01 Benign neoplasm of right conjunctiva
D31.02 Benign neoplasm of left conjunctiva
D31.10 Benign neoplasm of unspecified cornea
D31.11 Benign neoplasm of right cornea
D31.12 Benign neoplasm of left cornea
D31.40 Benign neoplasm of unspecified ciliary body
D31.41 Benign neoplasm of right ciliary body
D31.42 Benign neoplasm of left ciliary body
D48.5 Neoplasm of uncertain behavior of skin
D48.7 Neoplasm of uncertain behavior of other specified sites
D49.2 Neoplasm of unspecified behavior of bone, soft tissue, and skin
H00.011 Hordeolum externum right upper eyelid
H00.012 Hordeolum externum right lower eyelid
H00.013 Hordeolum externum right eye, unspecified eyelid
H00.014 Hordeolum externum left upper eyelid
H00.015 Hordeolum externum left lower eyelid
H00.016 Hordeolum externum left eye, unspecified eyelid
H00.019 Hordeolum externum unspecified eye, unspecified eyelid
H00.021 Hordeolum internum right upper eyelid
H00.022 Hordeolum internum right lower eyelid
H00.023 Hordeolum internum right eye, unspecified eyelid
H00.024 Hordeolum internum left upper eyelid
H00.025 Hordeolum internum left lower eyelid
H00.026 Hordeolum internum left eye, unspecified eyelid
H00.029 Hordeolum internum unspecified eye, unspecified eyelid
H00.031 Abscess of right upper eyelid
H00.032 Abscess of right lower eyelid
H00.033 Abscess of eyelid right eye, unspecified eyelid
H00.034 Abscess of left upper eyelid
H00.035 Abscess of left lower eyelid
H00.036 Abscess of eyelid left eye, unspecified eyelid
H00.039 Abscess of eyelid unspecified eye, unspecified eyelid
H02.001 Unspecified entropion of right upper eyelid
H02.002 Unspecified entropion of right lower eyelid
H02.003 Unspecified entropion of right eye, unspecified eyelid
H02.004 Unspecified entropion of left upper eyelid
H02.005 Unspecified entropion of left lower eyelid
H02.006 Unspecified entropion of left eye, unspecified eyelid
H02.009 Unspecified entropion of unspecified eye, unspecified eyelid
H02.011 Cicatricial entropion of right upper eyelid
H02.012 Cicatricial entropion of right lower eyelid
H02.013 Cicatricial entropion of right eye, unspecified eyelid
H02.014 Cicatricial entropion of left upper eyelid
H02.015 Cicatricial entropion of left lower eyelid
H02.016 Cicatricial entropion of left eye, unspecified eyelid
H02.019 Cicatricial entropion of unspecified eye, unspecified eyelid
H02.021 Mechanical entropion of right upper eyelid
H02.022 Mechanical entropion of right lower eyelid
H02.023 Mechanical entropion of right eye, unspecified eyelid
H02.024 Mechanical entropion of left upper eyelid
H02.025 Mechanical entropion of left lower eyelid
H02.026 Mechanical entropion of left eye, unspecified eyelid
H02.029 Mechanical entropion of unspecified eye, unspecified eyelid
H02.031 Senile entropion of right upper eyelid
H02.032 Senile entropion of right lower eyelid
H02.033 Senile entropion of right eye, unspecified eyelid
H02.034 Senile entropion of left upper eyelid
H02.035 Senile entropion of left lower eyelid
H02.036 Senile entropion of left eye, unspecified eyelid
H02.039 Senile entropion of unspecified eye, unspecified eyelid
H02.041 Spastic entropion of right upper eyelid
H02.042 Spastic entropion of right lower eyelid
H02.043 Spastic entropion of right eye, unspecified eyelid
H02.044 Spastic entropion of left upper eyelid
H02.045 Spastic entropion of left lower eyelid
H02.046 Spastic entropion of left eye, unspecified eyelid
H02.049 Spastic entropion of unspecified eye, unspecified eyelid
H02.051 Trichiasis without entropian right upper eyelid
H02.052 Trichiasis without entropian right lower eyelid
H02.053 Trichiasis without entropian right eye, unspecified eyelid
H02.054 Trichiasis without entropian left upper eyelid
H02.055 Trichiasis without entropian left lower eyelid
H02.056 Trichiasis without entropian left eye, unspecified eyelid
H02.059 Trichiasis without entropian unspecified eye, unspecified eyelid
H02.101 Unspecified ectropion of right upper eyelid
H02.102 Unspecified ectropion of right lower eyelid
H02.103 Unspecified ectropion of right eye, unspecified eyelid
H02.104 Unspecified ectropion of left upper eyelid
H02.105 Unspecified ectropion of left lower eyelid
H02.106 Unspecified ectropion of left eye, unspecified eyelid
H02.109 Unspecified ectropion of unspecified eye, unspecified eyelid
H02.111 Cicatricial ectropion of right upper eyelid
H02.112 Cicatricial ectropion of right lower eyelid
H02.113 Cicatricial ectropion of right eye, unspecified eyelid
H02.114 Cicatricial ectropion of left upper eyelid
H02.115 Cicatricial ectropion of left lower eyelid
H02.116 Cicatricial ectropion of left eye, unspecified eyelid
H02.119 Cicatricial ectropion of unspecified eye, unspecified eyelid
H02.121 Mechanical ectropion of right upper eyelid
H02.122 Mechanical ectropion of right lower eyelid
H02.123 Mechanical ectropion of right eye, unspecified eyelid
H02.124 Mechanical ectropion of left upper eyelid
H02.125 Mechanical ectropion of left lower eyelid
H02.126 Mechanical ectropion of left eye, unspecified eyelid
H02.129 Mechanical ectropion of unspecified eye, unspecified eyelid
H02.131 Senile ectropion of right upper eyelid
H02.132 Senile ectropion of right lower eyelid
H02.133 Senile ectropion of right eye, unspecified eyelid
H02.134 Senile ectropion of left upper eyelid
H02.135 Senile ectropion of left lower eyelid
H02.136 Senile ectropion of left eye, unspecified eyelid
H02.139 Senile ectropion of unspecified eye, unspecified eyelid
H02.141 Spastic ectropion of right upper eyelid
H02.142 Spastic ectropion of right lower eyelid
H02.143 Spastic ectropion of right eye, unspecified eyelid
H02.144 Spastic ectropion of left upper eyelid
H02.145 Spastic ectropion of left lower eyelid
H02.146 Spastic ectropion of left eye, unspecified eyelid
H02.149 Spastic ectropion of unspecified eye, unspecified eyelid
H02.201 Unspecified lagophthalmos right upper eyelid
H02.202 Unspecified lagophthalmos right lower eyelid
H02.203 Unspecified lagophthalmos right eye, unspecified eyelid
H02.204 Unspecified lagophthalmos left upper eyelid
H02.205 Unspecified lagophthalmos left lower eyelid
H02.206 Unspecified lagophthalmos left eye, unspecified eyelid
H02.209 Unspecified lagophthalmos unspecified eye, unspecified eyelid
H02.211 Cicatricial lagophthalmos right upper eyelid
H02.212 Cicatricial lagophthalmos right lower eyelid
H02.213 Cicatricial lagophthalmos right eye, unspecified eyelid
H02.214 Cicatricial lagophthalmos left upper eyelid
H02.215 Cicatricial lagophthalmos left lower eyelid
H02.216 Cicatricial lagophthalmos left eye, unspecified eyelid
H02.219 Cicatricial lagophthalmos unspecified eye, unspecified eyelid
H02.221 Mechanical lagophthalmos right upper eyelid
H02.222 Mechanical lagophthalmos right lower eyelid
H02.223 Mechanical lagophthalmos right eye, unspecified eyelid
H02.224 Mechanical lagophthalmos left upper eyelid
H02.225 Mechanical lagophthalmos left lower eyelid
H02.226 Mechanical lagophthalmos left eye, unspecified eyelid
H02.229 Mechanical lagophthalmos unspecified eye, unspecified eyelid
H02.231 Paralytic lagophthalmos right upper eyelid
H02.232 Paralytic lagophthalmos right lower eyelid
H02.233 Paralytic lagophthalmos right eye, unspecified eyelid
H02.234 Paralytic lagophthalmos left upper eyelid
H02.235 Paralytic lagophthalmos left lower eyelid
H02.236 Paralytic lagophthalmos left eye, unspecified eyelid
H02.239 Paralytic lagophthalmos unspecified eye, unspecified eyelid
H02.30 Blepharochalasis unspecified eye, unspecified eyelid
and Many more….
