This monograph describes reimbursement for tests performed using Heidelberg Engineering ANTERION® instrument. These are: scanning computerized ophthalmic diagnostic imaging of the anterior segment of the eye (SCODI-A), ophthalmic biometry by partial coherence interferometry (OCB), corneal topography, corneal tomography, external ocular photography, optical pachymetry, and wavefront aberrometry.

Much of the information in this document is taken from official publications of the Medicare program. The reader is encouraged to check with the local Medicare Administrative Contractor (MAC) for additional information and instructions. For other third-party payors, we have used the coding concepts contained in CPT and published by the American Medical Association; diagnosis codes are from ICD-10-CM.

Documentation of diagnostic tests, and the medical rationale for them, is key to reimbursement so we describe the required elements in detail. Since economic analyses are a necessary part of any capital budgeting decision, we incorporated Medicare’s payment rates for these tests, as well as recent Medicare utilization rates.