Medicare Reimbursement for Optical Coherence Biometry

Topic: Optical Coherence Biometry

Sponsor: ZEISS

Updated: 05/13/2019

ZEISS

This FAQ addresses the following:

  1. Does Medicare pay for optical coherence biometry (OCB) using Carl Zeiss Meditec’s IOL Master?
  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. What CPT code describes OCB?
  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?