Medicare Reimbursement for Fundus Photography with the Clarus 500

Topic: Fundus Photos

Sponsor: ZEISS

Updated: 02/17/2021


This FAQ addresses the following:

  1. What is the CLARUS 500 ultra-widefield fundus imaging system, and what is it used for?
  2. Will Medicare cover this test?
  3. What documentation is required in the medical record?
  4. Will FP be reimbursed if performed on the same day as an eye exam or another diagnostic test?
  5. Is the physician’s presence required while fundus photography with CLARUS 500 is being performed?
  6. How much does Medicare allow for this test?
  7. How often may FP be repeated on a patient?
  8. What is the frequency of FP in the Medicare program?
  9. If coverage is unlikely or uncertain, how should we proceed?