This FAQ addresses the following:

1. What is OCT of the posterior segment performed with Heidelberg Engineering’s SPECTRALIS®?
2. Does Medicare cover OCT of the posterior segment?
3. Is the physician’s presence required while OCT is being performed?
4. What documentation is required in the medical record to support claims for OCT?
5. What CPT codes should we use to describe OCT?
6. How much does Medicare allow for these tests?
7. What payment restrictions or bundles exist for OCT and other ophthalmic services?
8. How often may OCT be repeated?
9. If coverage for OCT is unlikely or uncertain, how should we proceed?