Medicare Reimbursement for Fundus Photography with epiCam

Topic: Fundus Photos

Sponsor: epipole

Updated: 03/28/2023


This FAQ addresses the following:

  1. What are the special characteristics of the epiCam fundus imaging system?
  2. What CPT code applies to imaging with the epiCam?
  3. Will Medicare cover this test?
  4. What documentation is required in the medical record?
  5. Will FP be reimbursed if performed the same day as an eye exam?
  6. Is the physician’s presence required while FP is performed?
  7. How much does Medicare allow for this test?
  8. How often may FP be repeated on a patient?
  9. What is the frequency of FP in the Medicare program?
  10. If coverage is unlikely or uncertain, how should we proceed?