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| | Extended Ophthalmoscopy |
 | | The three methods of viewing the ocular fundus include direct ophthalmoscopy, indirect ophthalmoscopy by which a larger field is obtained with magnification, and biomicroscopy where a slit lamp is combined with a contact lens (e.g., 3-mirror lens) or similar magnification lens (e.g., 90 diopter). |
 | | Ophthalmoscopy extended (92225) and subsequent (92226) are considered to be reasonable and necessary services for evaluation of tumors of the retina and choroid (the tumor may be too peripheral for an accurate photograph), retinal tears, detachments, hemorrhages, exudative detachments and retinal defects without detachment as well as other documentation requirements set forth in this policy. |
 | | A serious retinal condition is present based on routine ophthalmoscopy, which requires further study, such as the detailed study of pre-retinal membrane, 360 degrees scleral depression, a retinal tear, detachment, a suspected retinal tear with sudden onset of symptomatic floaters or vitreous hemorrhage and/or suspected wet, age related macular degeneration or central serous retinopathy. |
| www.cignamedicare.com /partb/lmrp/id/cms_fu/2002-05.htm (1026 words) |
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