Medicare Reimbursement for Fundus Photography

Topic: Fundus Photos

Sponsor: ZEISS

Updated: 05/29/2019


This FAQ addresses the following:

  1. Does Medicare cover fundus photography using Carl Zeiss Meditec fundus instrumentation?
  2. What documentation is required in the medical record?
  3. How is fundus photography reimbursed?
  4. Is fundus photography bundled with other tests or services?
  5. Must the physician be present while the test is being performed?
  6. How often may fundus photography be repeated?
  7. What is the frequency of fundus photography in the Medicare program?
  8. May I ever bill the Medicare beneficiary directly for this service?
  9. Is there another separate CPT code for autofluorescence or red-free images?