Reimbursement for Tests with the OCULUS Keratograph 5M

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Topic: OCULUS Keratograph 5M

Sponsor: OCULUS

Updated: 03/11/2021

This FAQ addresses the following:

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