Medicare Reimbursement for SCODI of the Posterior Segment

Topic: SCODI-P

Sponsor: Optovue

Updated: 01/28/2020


This FAQ addresses the following:

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