What insurance policy changes affect CPT 92133?

There are 11 tracked policy changes affecting CPT 92133, including updates from Blue Cross Blue Shield of Nebraska, Blue Cross Blue Shield of Rhode Island, Aetna Better Health of Virginia. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

How do I get notified when CPT 92133 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 92133. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 92133?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

92133 — A specialized eye imaging scan performed after dilating pupils to examine the back of the eye in detail.: Insurance Policy Changes

Q: Which payers have updated policy for CPT 92133?

Payers that have issued tracked updates for CPT 92133 include: Blue Cross Blue Shield of Nebraska, Blue Cross Blue Shield of Rhode Island, Aetna Better Health of Virginia, Mississippi Medicaid (DOM), Aetna.

92133 Insurance Policy Changes

CPT 92133, in plain terms, covers A specialized eye imaging scan performed after dilating pupils to examine the back of the eye in detail. CPT 92133 is referenced in 11 tracked payer policy changes from Blue Cross Blue Shield of Nebraska, Blue Cross Blue Shield of Rhode Island, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 92133 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

Optic Nerve and Retinal Imaging Methods (CPB 0344, reviewed 2026-05-26)

Aetna·Effective May 26, 2026

Aetna updated CPB 0344 (Optic Nerve and Retinal Imaging Methods, effective 2026-05-26) to clarify coverage criteria for optic nerve and retinal imaging. Key changes include: (1) OCTA is now a medically necessary alternative to fluorescein angiography (FA) for specific AMD, CNV, vasculitis, diabetic retinopathy, and tumor indications; (2) performing both OCTA and FA for the same indication is not medically necessary; (3) OCTA for glaucoma diagnosis/monitoring remains experimental/investigational; (4) remote patient-initiated OCT capture (CPT 0604T, 0605T, 0606T) remains investigational; and (5) optic nerve imaging for glaucoma more than once per year is not medically necessary.

92133 Insurance Policy Changes

MPC March 2026

Medical policy updates

Provider Notification - E&M Ophthalmology - Error Fix for Denied Claims

MPC March 2026

Marketplace Policies and Medicaid Coverage

Special Enrollment Period for Managed Care Members

Pharmacy POS processing server upgrade

Dental replacement codes in effect

Simplified Claims Adjustment Reporting on RA

Optic Nerve and Retinal Imaging Methods (CPB 0344, reviewed 2026-05-26)

Verteporfin (Visudyne) Photodynamic Therapy (CPB 0594, reviewed 2026-04-24)