Medicare Reimbursement for E-Swin Tearcheck

Topic: Tearcheck

Sponsor: e-Swin USA

Updated: 08/09/2023

e-Swin USA

This FAQ addresses the following:

  1. What is the E-Swin tearcheck?
  2. What CPT codes should we use to describe tearcheck?
  3. Does keratoconjunctivitis sicca (H16.22-), not specified as Sjogren’s, support 92285?
  4. Is the physician’s presence required while external photography is being performed?
  5. What documentation is required in the medical record to support claims for 92285 and 0330T?
  6. Does Medicare cover external photography and tear film imaging?
  7. What does Medicare allow for external photography and tear film imaging?
  8. What is the frequency of external photography in the Medicare program?
  9. How often may this test be repeated?
  10. If coverage of external photography is unlikely or uncertain, how should we proceed?