Medicare Reimbursement for External Photography

Topic: External Photos

Sponsor: Nidek

Updated: 04/24/2018


This FAQ addresses the following:

  1. What is external photography?
  2. What CPT code should we use to describe this test?
  3. What diagnoses support a claim for external photography?
  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 external photography?
  6. Does Medicare cover external photography performed with Nidek’s AFC-330?
  7. What does Medicare allow for external photography?
  8. What is the frequency of external photography in the Medicare program?
  9. How often may this test be repeated?
  10. Is external photography bundled with other services?
  11. If coverage of external photography is unlikely or uncertain, how should we proceed?