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 92285Eye photography
ICD-10 Codes that Support Medical Necessity
A18.52Tuberculous keratitis
A18.59Other tuberculosis of eye
B00.50Herpesviral ocular disease, unspecified
B00.51Herpesviral iridocyclitis
B00.52Herpesviral keratitis
B00.59Other herpesviral disease of eye
B02.30Zoster ocular disease, unspecified
B02.31Zoster conjunctivitis
B02.32Zoster iridocyclitis
B02.33Zoster keratitis
B02.34Zoster scleritis
B02.39Other herpes zoster eye disease
B60.12Conjunctivitis due to Acanthamoeba
B60.13Keratoconjunctivitis due to Acanthamoeba
C43.10Malignant melanoma of unspecified eyelid, including canthus
C43.11Malignant melanoma of right eyelid, including canthus
C43.12Malignant melanoma of left eyelid, including canthus
C44.101Unspecified malignant neoplasm of skin of unspecified eyelid, including canthus
C44.102Unspecified malignant neoplasm of skin of right eyelid, including canthus
C44.109Unspecified malignant neoplasm of skin of left eyelid, including canthus
C44.111Basal cell carcinoma of skin of unspecified eyelid, including canthus
C44.112Basal cell carcinoma of skin of right eyelid, including canthus
C44.119Basal cell carcinoma of skin of left eyelid, including canthus
C44.121Squamous cell carcinoma of skin of unspecified eyelid, including canthus
C44.122Squamous cell carcinoma of skin of right eyelid, including canthus
C44.129Squamous cell carcinoma of skin of left eyelid, including canthus
C44.191Other specified malignant neoplasm of skin of unspecified eyelid, including canthus
C44.192Other specified malignant neoplasm of skin of right eyelid, including canthus
C44.199Other specified malignant neoplasm of skin of left eyelid, including canthus
C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C49.0Malignant neoplasm of connective and soft tissue of head, face and neck
C69.00Malignant neoplasm of unspecified conjunctiva
C69.01Malignant neoplasm of right conjunctiva
C69.02Malignant neoplasm of left conjunctiva
C69.10Malignant neoplasm of unspecified cornea
C69.11Malignant neoplasm of right cornea
C69.12Malignant neoplasm of left cornea
C69.40Malignant neoplasm of unspecified ciliary body
C69.41Malignant neoplasm of right ciliary body
C69.42Malignant neoplasm of left ciliary body
D03.10Melanoma in situ of unspecified eyelid, including canthus
D03.11Melanoma in situ of right eyelid, including canthus
D03.12Melanoma in situ of left eyelid, including canthus
D04.10Carcinoma in situ of skin of unspecified eyelid, including canthus
D04.11Carcinoma in situ of skin of right eyelid, including canthus
D04.12Carcinoma in situ of skin of left eyelid, including canthus
D09.20Carcinoma in situ of unspecified eye
D09.21Carcinoma in situ of right eye
D09.22Carcinoma in situ of left eye
D22.10Melanocytic nevi of unspecified eyelid, including canthus
D22.11Melanocytic nevi of right eyelid, including canthus
D22.12Melanocytic nevi of left eyelid, including canthus
D23.10Other benign neoplasm of skin of unspecified eyelid, including canthus
D23.11Other benign neoplasm of skin of right eyelid, including canthus
D23.12Other benign neoplasm of skin of left eyelid, including canthus
D31.00Benign neoplasm of unspecified conjunctiva
D31.01Benign neoplasm of right conjunctiva
D31.02Benign neoplasm of left conjunctiva
D31.10Benign neoplasm of unspecified cornea
D31.11Benign neoplasm of right cornea
D31.12Benign neoplasm of left cornea
D31.40Benign neoplasm of unspecified ciliary body
D31.41Benign neoplasm of right ciliary body
D31.42Benign neoplasm of left ciliary body
D48.5Neoplasm of uncertain behavior of skin
D48.7Neoplasm of uncertain behavior of other specified sites
D49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
H00.011Hordeolum externum right upper eyelid
H00.012Hordeolum externum right lower eyelid
H00.013Hordeolum externum right eye, unspecified eyelid
H00.014Hordeolum externum left upper eyelid
H00.015Hordeolum externum left lower eyelid
H00.016Hordeolum externum left eye, unspecified eyelid
H00.019Hordeolum externum unspecified eye, unspecified eyelid
H00.021Hordeolum internum right upper eyelid
H00.022Hordeolum internum right lower eyelid
H00.023Hordeolum internum right eye, unspecified eyelid
H00.024Hordeolum internum left upper eyelid
H00.025Hordeolum internum left lower eyelid
H00.026Hordeolum internum left eye, unspecified eyelid
H00.029Hordeolum internum unspecified eye, unspecified eyelid
H00.031Abscess of right upper eyelid
H00.032Abscess of right lower eyelid
H00.033Abscess of eyelid right eye, unspecified eyelid
H00.034Abscess of left upper eyelid
H00.035Abscess of left lower eyelid
H00.036Abscess of eyelid left eye, unspecified eyelid
H00.039Abscess of eyelid unspecified eye, unspecified eyelid
H02.001Unspecified entropion of right upper eyelid
H02.002Unspecified entropion of right lower eyelid
H02.003Unspecified entropion of right eye, unspecified eyelid
H02.004Unspecified entropion of left upper eyelid
H02.005Unspecified entropion of left lower eyelid
H02.006Unspecified entropion of left eye, unspecified eyelid
H02.009Unspecified entropion of unspecified eye, unspecified eyelid
H02.011Cicatricial entropion of right upper eyelid
H02.012Cicatricial entropion of right lower eyelid
H02.013Cicatricial entropion of right eye, unspecified eyelid
H02.014Cicatricial entropion of left upper eyelid
H02.015Cicatricial entropion of left lower eyelid
H02.016Cicatricial entropion of left eye, unspecified eyelid
H02.019Cicatricial entropion of unspecified eye, unspecified eyelid
H02.021Mechanical entropion of right upper eyelid
H02.022Mechanical entropion of right lower eyelid
H02.023Mechanical entropion of right eye, unspecified eyelid
H02.024Mechanical entropion of left upper eyelid
H02.025Mechanical entropion of left lower eyelid
H02.026Mechanical entropion of left eye, unspecified eyelid
H02.029Mechanical entropion of unspecified eye, unspecified eyelid
H02.031Senile entropion of right upper eyelid
H02.032Senile entropion of right lower eyelid
H02.033Senile entropion of right eye, unspecified eyelid
H02.034Senile entropion of left upper eyelid
H02.035Senile entropion of left lower eyelid
H02.036Senile entropion of left eye, unspecified eyelid
H02.039Senile entropion of unspecified eye, unspecified eyelid
H02.041Spastic entropion of right upper eyelid
H02.042Spastic entropion of right lower eyelid
H02.043Spastic entropion of right eye, unspecified eyelid
H02.044Spastic entropion of left upper eyelid
H02.045Spastic entropion of left lower eyelid
H02.046Spastic entropion of left eye, unspecified eyelid
H02.049Spastic entropion of unspecified eye, unspecified eyelid
H02.051Trichiasis without entropian right upper eyelid
H02.052Trichiasis without entropian right lower eyelid
H02.053Trichiasis without entropian right eye, unspecified eyelid
H02.054Trichiasis without entropian left upper eyelid
H02.055Trichiasis without entropian left lower eyelid
H02.056Trichiasis without entropian left eye, unspecified eyelid
H02.059Trichiasis without entropian unspecified eye, unspecified eyelid
H02.101Unspecified ectropion of right upper eyelid
H02.102Unspecified ectropion of right lower eyelid
H02.103Unspecified ectropion of right eye, unspecified eyelid
H02.104Unspecified ectropion of left upper eyelid
H02.105Unspecified ectropion of left lower eyelid
H02.106Unspecified ectropion of left eye, unspecified eyelid
H02.109Unspecified ectropion of unspecified eye, unspecified eyelid
H02.111Cicatricial ectropion of right upper eyelid
H02.112Cicatricial ectropion of right lower eyelid
H02.113Cicatricial ectropion of right eye, unspecified eyelid
H02.114Cicatricial ectropion of left upper eyelid
H02.115Cicatricial ectropion of left lower eyelid
H02.116Cicatricial ectropion of left eye, unspecified eyelid
H02.119Cicatricial ectropion of unspecified eye, unspecified eyelid
H02.121Mechanical ectropion of right upper eyelid
H02.122Mechanical ectropion of right lower eyelid
H02.123Mechanical ectropion of right eye, unspecified eyelid
H02.124Mechanical ectropion of left upper eyelid
H02.125Mechanical ectropion of left lower eyelid
H02.126Mechanical ectropion of left eye, unspecified eyelid
H02.129Mechanical ectropion of unspecified eye, unspecified eyelid
H02.131Senile ectropion of right upper eyelid
H02.132Senile ectropion of right lower eyelid
H02.133Senile ectropion of right eye, unspecified eyelid
H02.134Senile ectropion of left upper eyelid
H02.135Senile ectropion of left lower eyelid
H02.136Senile ectropion of left eye, unspecified eyelid
H02.139Senile ectropion of unspecified eye, unspecified eyelid
H02.141Spastic ectropion of right upper eyelid
H02.142Spastic ectropion of right lower eyelid
H02.143Spastic ectropion of right eye, unspecified eyelid
H02.144Spastic ectropion of left upper eyelid
H02.145Spastic ectropion of left lower eyelid
H02.146Spastic ectropion of left eye, unspecified eyelid
H02.149Spastic ectropion of unspecified eye, unspecified eyelid
H02.201Unspecified lagophthalmos right upper eyelid
H02.202Unspecified lagophthalmos right lower eyelid
H02.203Unspecified lagophthalmos right eye, unspecified eyelid
H02.204Unspecified lagophthalmos left upper eyelid
H02.205Unspecified lagophthalmos left lower eyelid
H02.206Unspecified lagophthalmos left eye, unspecified eyelid
H02.209Unspecified lagophthalmos unspecified eye, unspecified eyelid
H02.211Cicatricial lagophthalmos right upper eyelid
H02.212Cicatricial lagophthalmos right lower eyelid
H02.213Cicatricial lagophthalmos right eye, unspecified eyelid
H02.214Cicatricial lagophthalmos left upper eyelid
H02.215Cicatricial lagophthalmos left lower eyelid
H02.216Cicatricial lagophthalmos left eye, unspecified eyelid
H02.219Cicatricial lagophthalmos unspecified eye, unspecified eyelid
H02.221Mechanical lagophthalmos right upper eyelid
H02.222Mechanical lagophthalmos right lower eyelid
H02.223Mechanical lagophthalmos right eye, unspecified eyelid
H02.224Mechanical lagophthalmos left upper eyelid
H02.225Mechanical lagophthalmos left lower eyelid
H02.226Mechanical lagophthalmos left eye, unspecified eyelid
H02.229Mechanical lagophthalmos unspecified eye, unspecified eyelid
H02.231Paralytic lagophthalmos right upper eyelid
H02.232Paralytic lagophthalmos right lower eyelid
H02.233Paralytic lagophthalmos right eye, unspecified eyelid
H02.234Paralytic lagophthalmos left upper eyelid
H02.235Paralytic lagophthalmos left lower eyelid
H02.236Paralytic lagophthalmos left eye, unspecified eyelid
H02.239Paralytic lagophthalmos unspecified eye, unspecified eyelid
H02.30Blepharochalasis unspecified eye, unspecified eyelid
and Many more....