Medicare Reimbursement for Fundus Photography with epiCam
Topic: Fundus Photos
Sponsor: epipole
Updated: 03/28/2023
This FAQ addresses the following:
- What are the special characteristics of the epiCam fundus imaging system?
- What CPT code applies to imaging with the epiCam?
- Will Medicare cover this test?
- What documentation is required in the medical record?
- Will FP be reimbursed if performed the same day as an eye exam?
- Is the physician’s presence required while FP is performed?
- How much does Medicare allow for this test?
- How often may FP be repeated on a patient?
- What is the frequency of FP in the Medicare program?
- If coverage is unlikely or uncertain, how should we proceed?