Medicare Reimbursement for External Ocular Photography

Topic: External Photos

Sponsor: Topcon Medical Systems

Updated: 07/01/2018

Topcon Healthcare

This FAQ addresses the following:

  1. What is external ocular photography?
  2. What diagnoses support a claim for external ocular photography?
  3. What documentation is required in the medical record?
  4. Does Medicare cover this test?
  5. Must the physician be present while this test is being performed?
  6. What CPT code is used to describe external ocular photography?
  7. What does Medicare allow for external ocular photography?
  8. Is external ocular photography bundled with other services?
  9. What is the frequency of external ocular photography in the Medicare program?
  10. How often may external ocular photography be repeated?
  11. If Medicare or other payer does not cover external ocular photography, may we charge the patient?