Medicare Reimbursement for SCODI of the Posterior Segment

Topic: SCODI-P

Sponsor: Heidelberg Engineering

Updated: 03/25/2018

Heidelberg Engineering

This FAQ addresses the following:

  1. What is SCODI of the posterior segment (SCODI-P) performed with the SPECTRALIS®?
  2. What are the indications for SCODI-P?
  3. Does Medicare cover SCODI of the posterior segment?
  4. What documentation is required in the medical record to support claims for SCODI-P?
  5. What CPT code should we use to describe SCODI-P?
  6. Is the physician’s presence required while SCODI-P is being performed?
  7. How much does Medicare allow for this test?
  8. How frequently is SCODI-P performed?
  9. What payment restrictions or bundles exist with SCODI-P and other ophthalmic services?
  10. How often may SCODI-P be repeated?