Reimbursement for Tests with the OCULUS Keratograph 5M

Topic: OCULUS Keratograph 5M

Sponsor: OCULUS

Updated: 03/11/2021

OCULUS

This FAQ addresses the following:

  1. What tests can be performed with the OCULUS Keratograph 5M®?
  2. Does Medicare cover corneal topography (CT) and external ocular photography?
  3. Does Medicare cover 0330T, 0507T and 92499?
  4. Does Medicare cover Zernike and Fourier analysis?
  5. Does Medicare cover contact lens fitting?
  6. Are any of these other tests covered by Medicare?
  7. What are Medicare’s reimbursement rates?
  8. What documentation is required in the medical record?
  9. Is it possible to bill for more than one test on the same day?
  10. How frequently may tests with the OCULUS Keratograph 5M be performed?
  11. If coverage of a test is unlikely or uncertain, how should we proceed?