Medicare Reimbursement for SCODI of the Posterior Segment (Swept Source OCT)

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Topic: SCODI-P

Sponsor: Topcon Medical Systems

Updated: 01/01/2017

This FAQ addresses the following:

Does Medicare cover SCODI of the posterior segment with Topcon’s DRI OCT-1 Atlantis?
What CPT codes describe SCODI-P?
What are the indications for SCODI-P?
What documentation is required in the medical record to support claims for SCODI-P?
Is the physician’s presence required while SCODI-P is being performed?
How much does Medicare allow for this test?
What payment restrictions or bundles exist between SCODI-P and other ophthalmic services?
How often may SCODI-P be repeated?
How frequently is SCODI-P performed?

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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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