Reimbursement for Fluorescein Angiography

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Topic: Angiography

Sponsor: Canon

Updated: 02/18/2019

This FAQ addresses the following:

What is fluorescein angiography (FA)?
What are the indications for FA?
Does Medicare cover FA?
What CPT code should we use for FA?
What documentation is required in the medical record to support claims for FA?
May we be reimbursed for both FA and an exam or other diagnostic test on the same day?
What is the reimbursement for FA?
Is the physician’s presence required during testing?
How frequently may FA be performed?
If coverage of FA 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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