Medicare Reimbursement for Fluorescein and ICG Angiography

Topic: Angiography

Sponsor: Heidelberg Engineering

Updated: 06/18/2024

Heidelberg Engineering

This FAQ addresses the following:

  1. What are FA and ICG tests performed with Heidelberg Engineering’s SPECTRALIS®?
  2. What are the indications for these tests?
  3. Does Medicare cover FA and ICG?
  4. What documentation is required in the medical record to support these claims?
  5. Is the physician’s presence required during testing?
  6. What CPT codes should we use to describe these tests?
  7. What does Medicare allow for these tests?
  8. Are there restrictions on other codes that may be billed the same day?
  9. If coverage for fundus photography is unlikely or uncertain, how should we proceed?