This monograph describes reimbursement for visual field (VF) testing with Konan Medical USA’s objectiveFIELD® analyzer (OFA®). VF testing can be performed by a variety of methods; however, the most popular ones require patient cooperation and a subjective response.1 The OFA is different because it is an objective VF test that does not rely on a response from the patient.

Much of the information in this document is taken from official publications of the Medicare program. The reader is encouraged to check with the local Medicare Administrative Contractor (MAC) for additional information and instructions. For other third-party payors, we have used the coding concepts contained in CPT and published by the American Medical Association; diagnosis codes are from ICD-10-CM. Documentation of a diagnostic test, and whether there is medical rationale for it, are key to reimbursement so we describe the required elements in detail.

Since economic analyses are a necessary part of any capital budgeting decision, we incorporated Medicare’s payment rates for visual field testing, as well as recent Medicare utilization rates.