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

Topic: SCODI-P

Sponsor: Topcon Medical Systems

Updated: 01/01/2017

Topcon Healthcare

This FAQ addresses the following:

  1. Does Medicare cover SCODI of the posterior segment with Topcon’s DRI OCT-1 Atlantis?
  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 claims 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. How frequently is SCODI-P performed?