Medicare Reimbursement for SCODI of the Posterior Segment (SPECTRALIS®)
Topic: SCODI-P
Sponsor: Heidelberg Engineering
Updated: 06/18/2024
This FAQ addresses the following:
- What is SCODI of the posterior segment performed with Heidelberg Engineering’s SPECTRALIS®?
- Does Medicare cover SCODI of the posterior segment?
- Is the physician’s presence required while SCODI-P is being performed?
- What documentation is required in the medical record to support claims for SCODI-P?
- What CPT codes should we use to describe SCODI-P?
- How much does Medicare allow for these tests?
- What payment restrictions or bundles exist for SCODI-P and other ophthalmic services?
- How often may SCODI-P be repeated?
- If coverage for SCODI-P is unlikely or uncertain, how should we proceed?