Yes. Primary care and endocrinology practices commonly screen for diabetic retinopathy in-office using a non-mydriatic fundus camera, then send images for asynchronous specialist interpretation.

This point-of-care model helps close care gaps during routine diabetes visits — especially for patients who do not follow through with separate ophthalmology appointments. CarePlus supports capture, routing, specialist read, and structured reporting back to the clinic.

Teleretinal screening (also called teleophthalmology screening) means retinal images are captured in primary care and read remotely by licensed eye specialists.

Typical workflow: (1) staff captures undilated retinal photos during the visit, (2) images are transmitted securely, (3) an ophthalmologist or optometrist interprets asynchronously, (4) a structured report returns to the clinic for follow-up and quality documentation. CarePlus is built for this workflow in primary care settings.

Most missed diabetic eye exams are access problems, not clinical disagreement — patients do not schedule or keep separate ophthalmology visits.

Primary care can improve HEDIS Diabetes Eye Exam (EED) and Medicare Star performance by:

• Screening during the diabetes visit already on the calendar
• Using in-office retinal imaging with remote specialist read
• Documenting completed screenings in structured, reportable format
• Identifying overdue patients from panel reports and closing gaps proactively

CarePlus supports this in-clinic screening and reporting workflow.

Most in-office DR screenings take about 5–10 minutes of staff time once workflow is established: brief patient positioning, non-mydriatic retinal image capture, and upload to the screening platform.

Because imaging happens during an existing primary care visit, patients avoid a separate trip, dilation in many workflows, and another appointment to close the diabetic eye exam gap.

Both codes relate to remote retinal imaging for disease detection, but they describe different parts of the service:

• CPT 92227 — Remote imaging for detection of retinal disease (screening/imaging under physician direction).
• CPT 92228 — Remote imaging with interpretation and report by a physician or other qualified health care professional.

In a primary care-led screening workflow, billing depends on who performs which portion of the service, payer rules, and medical necessity. Your clinic orders the screening and manages billing; CarePlus facilitates image capture and specialist interpretation through its platform. Confirm coding with your billing team and payer policies.

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.