Medicare Reimbursement for SCODI of the Posterior Segment
Topic: SCODI-P Maestro2
Sponsor: Topcon Medical Systems
Updated: 03/08/2022
This FAQ addresses the following:
- Does Medicare cover SCODI of the posterior segment with Topcon’s 3D OCT-1 Maestro2?
- What CPT codes describe SCODI-P?
- What are the indications for SCODI-P?
- What documentation is required in the medical record to support a claim for SCODI-P?
- Are there payment restrictions or bundles that limit what other codes may be billed the same day?
- How much does Medicare allow for this test?
- How often may SCODI-P be repeated?
- Is the physician’s presence required while SCODI-P is being performed?
- If coverage of is unlikely or uncertain, how should we proceed?