Medicare Reimbursement for Optical Coherence Biometry
Topic: Optical Coherence Biometry
Sponsor: Topcon Medical Systems
Updated: 02/01/2022
This FAQ addresses the following:
- Does Medicare pay for optical coherence biometry (OCB) using Topcon’s ALADDIN?
- What documentation is required in the medical record to support a claim for OCB?
- What CPT code describes OCB?
- For an initial test with OCB, what is the claim to Medicare?
- When a patient returns for second eye surgery, what then?
- Must the physician be present while this test is being performed?
- Will Medicare cover repeat testing?
- How frequently is OCB performed?
- How much does Medicare allow for this test?
- If we perform both OCB and A-scan biometry prior to cataract surgery with IOL, may we be reimbursed for both?