Medicare Reimbursement for Optical Coherence Biometry
Topic: Optical Coherence Biometry
Sponsor: OCULUS
Updated: 08/18/2020
This FAQ addresses the following:
- Does Medicare pay for optical coherence biometry (OCB) using OCULUS’ Pentacam® AXL?
- What CPT code describes OCB?
- For an initial test with OCB, what is the claim to Medicare?
- What documentation is required in the medical record to support claims for OCB?
- When a patient returns for second eye surgery, what then?
- What clinical conditions support a claim for OCB testing?
- How much does Medicare allow for this test?
- How frequently is OCB performed?
- How often may OCB be repeated?
- Is the physician’s presence required while OCB is being performed?
- If we perform both OCB and A-scan biometry prior to cataract surgery with IOL, may we be reimbursed for both?