Medicare Reimbursement for Visual Field Testing

Topic: Visual Fields

Sponsor: ZEISS

Updated: 05/29/2019


This FAQ addresses the following:

  1. What is visual field testing with the Humphrey® Field Analyzer (HFA™)?
  2. Does Medicare cover visual field testing?
  3. Does NCD 80.9 supersede information in the local policy if my MAC publishes a more detailed policy?
  4. Is visual field testing covered for glaucoma suspect or age-related macular degeneration (AMD)?
  5. What documentation is required in the medical record to support claims for visual field?
  6. Is the physician’s presence required during visual field testing?
  7. What are the CPT codes for visual fields, and how do you distinguish between them?
  8. What does Medicare allow for testing with the HFA?
  9. May I perform other tests or services on the same day as a visual field?
  10. If coverage of visual fields is unlikely or uncertain, how should we proceed?