Medicare Reimbursement for Fundus Photography with iCam

Topic: Fundus Photos

Sponsor: Optovue

Updated: 01/28/2020


This FAQ addresses the following:

  1. What is iCam?
  2. What documentation is required in the medical record to support this test?
  3. What CPT code should we use to describe this test with the iCam?
  4. Does Medicare cover fundus photography?
  5. What is the reimbursement for 92250?
  6. Is fundus photography bundled with other tests or services?
  7. Must the physician be present while the test is being performed?
  8. How often may testing with the iCam be repeated?
  9. What is the frequency of fundus photography in the Medicare program?
  10. If coverage of fundus photography is unlikely or uncertain, how should we proceed?