Medicare Reimbursement for OCT Angiography

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Topic: OCT Angiography

Sponsor: Heidelberg Engineering

Updated: 01/27/2025

This FAQ addresses the following:

What is optical coherence tomography angiography (OCTA)?
How is OCTA different from OCT?
Does OCTA use intravenous dyes like fluorescein angiography and ICG angiography?
What are the indications for performing OCTA?
What documentation supports a claim for OCTA?
What CPT code describes OCTA?
How much does Medicare allow for 92137?
If coverage of OCTA is unlikely or uncertain, how should we proceed?

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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