Medicare Reimbursement for SCODI of the Anterior Segment

Topic: SCODI-A

Sponsor: Heidelberg Engineering

Updated: 03/25/2018

Heidelberg Engineering

This FAQ addresses the following:

  1. What is SCODI of the anterior segment performed with the SPECTRALIS®?
  2. What are the indications for SCODI of the anterior segment?
  3. What CPT code should we use to describe SCODI-A?
  4. Is SCODI-A covered by Medicare?
  5. What is the reimbursement for 92132?
  6. Is the physician’s presence required while SCODI-A is being performed?
  7. What documentation is required in the medical record to support claims for SCODI-A?
  8. How frequently may this test be performed?
  9. Are there restrictions on other codes that may be billed the same day?
  10. If coverage of SCODI-A is unlikely or uncertain, how should we proceed?