Medicare Reimbursement for SCODI of the Posterior Segment

Topic: SCODI-P

Sponsor: ZEISS

Updated: 03/13/2019


This FAQ addresses the following:

  1. Does Medicare cover SCODI of the posterior segment with Cirrus HD-OCT?
  2. What CPT codes describe SCODI-P?
  3. What are the indications for SCODI-P?
  4. What documentation is required in the medical record to support a claim for SCODI-P?
  5. Is the physician’s presence required while SCODI-P is being performed?
  6. How much does Medicare allow for this test?
  7. What payment restrictions or bundles exist between SCODI-P and other ophthalmic services?
  8. How often may SCODI-P be repeated?
  9. If coverage of SCODI-A is unlikely or uncertain, how should we proceed?