Medicare Reimbursement for Optical Coherence Biometry

Topic: Optical Coherence Biometry

Sponsor: Nidek

Updated: 05/10/2018


This FAQ addresses the following:

  1. Does Medicare pay for optical coherence biometry (OCB) using Nidek’s AL-Scan Optical Biometer?
  2. What clinical conditions support a claim for OCB testing?
  3. What documentation is required in the medical record to support a claim for OCB?
  4. In addition to the OCB printout or a reference to where electronic records are stored, the chart should contain:
  5. How do we submit the claim to Medicare?
  6. How much does Medicare allow for this test?
  7. How frequently is OCB performed?
  8. Will Medicare cover repeat testing?
  9. Must the physician be present while this test is being performed?
  10. If we perform both OCB and A-scan biometry prior to cataract surgery with IOL, may we be reimbursed for both?