Medicare Reimbursement for Visual Field Testing with OFA

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Topic: Visual Fields

Sponsor: Konan Medical

Updated: 09/26/2024

This FAQ addresses the following:

What is visual field testing with Konan Medical USA’s objectiveFIELD® Analyzer (OFA®)?
Does Medicare cover visual field testing?
What diagnoses are covered for visual field testing?
What documentation is required in the medical record to support claims for visual field testing?
Is the physician’s presence required during visual field testing?
What CPT code describes an extended visual field examination with OFA?
How much does Medicare allow for this test, and are there limits on billing with other services?
How often may visual fields be repeated on a patient?
If coverage of visual fields is unlikely or uncertain, how should we proceed?

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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