Annual diabetic retinal screening is generally covered under Medicare preventive and diabetes care benefits when medically appropriate and properly documented. Many Medicaid and commercial plans follow similar preventive screening guidelines.

Primary care clinics typically bill using retinal imaging codes such as CPT 92227 and/or CPT 92228, subject to payer rules, supervision requirements, and medical necessity. Coverage and payment vary by plan and locality.

CarePlus helps clinics complete and document in-office screenings; your billing team should confirm payer-specific rules for your practice.