This FAQ addresses the following:

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