Medicare Reimbursement for SCODI of the Anterior Segment (SPECTRALIS®)

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Topic: SCODI-A

Sponsor: Heidelberg Engineering

Updated: 06/18/2024

This FAQ addresses the following:

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

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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