iWellness Exam Prophylactic Testing

Topic: SCODI

Sponsor: Optovue

Updated: 01/28/2020


This FAQ addresses the following:

  1. What is Optovue’s iWellness scan?
  2. What is the primary reimbursement issue associated with the Optovue iWellness scan?
  3. What differentiates covered and noncovered diagnostic tests?
  4. When a physician utilizes the system for assessing consenting patients, who is responsible for payment?
  5. If the iWellness scan reveals pathology and additional tests are ordered, would they be covered by insurance?
  6. What documentation is required in the patient’s medical record?
  7. What should we tell patients about the iWellness scan?
  8. May we bill the patient directly for these services?
  9. How should we track the iWellness scan in our billing system?
  10. Which diagnosis code is associated with the iWellness scan?
  11. May we repeat the iWellness Exam test?