Medicare Reimbursement for Visual Field Testing
Topic: Visual Fields
Sponsor: OCULUS
Updated: 08/18/2020
This FAQ addresses the following:
- Does Medicare cover visual field testing?
- Is visual field testing covered for glaucoma suspect or age-related macular degeneration (AMD)?
- Does NCD 80.9 supersede information in the local policy if my MAC publishes a more detailed policy?
- What documentation is required in the medical record to support claims for visual field?
- Is the physician’s presence required during visual field testing?
- Why are there three different CPT codes for visual fields, and how do you distinguish between them?
- How much does Medicare allow for these tests, and are there limits on billing with other services?
- How often may this test be repeated on a patient?
- If coverage of visual fields is unlikely or uncertain, how should we proceed?