Medicare Reimbursement for Optical Coherence Biometry
Topic: Optical Coherence Biometry
Sponsor: Nidek
Updated: 05/10/2018
This FAQ addresses the following:
- Does Medicare pay for optical coherence biometry (OCB) using Nidek’s AL-Scan Optical Biometer?
- What clinical conditions support a claim for OCB testing?
- What documentation is required in the medical record to support a claim for OCB?
- In addition to the OCB printout or a reference to where electronic records are stored, the chart should contain:
- How do we submit the claim to Medicare?
- How much does Medicare allow for this test?
- How frequently is OCB performed?
- Will Medicare cover repeat testing?
- Must the physician be present while this test is being performed?
- If we perform both OCB and A-scan biometry prior to cataract surgery with IOL, may we be reimbursed for both?