External Ocular Photography and AOS Anterior Software

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Building an Effective Compliance Program for Your Ophthalmology Practice
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Topic: External Photos

Sponsor: Sparca

Updated: 05/26/2020

This FAQ addresses the following:

What is Advanced Ophthalmic Systems (AOS®) Anterior software?
What is the status of the AOS Anterior software with the FDA?
What are the indications for AOS Anterior?
Is there a procedure code for AOS Anterior?
What diagnoses support a claim for external photography?
What is the Medicare reimbursement for 92285 and G2010?
Are 92285 and G2010 bundled with other services?
How often is external photography performed within the Medicare program?
How often may this test be repeated?
What documentation is required in the medical record to support claims for external photography?
If coverage is unlikely or uncertain, how should we proceed?

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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