Reimbursement for Tests with the OCULUS Pentacam

Topic: OCULUS Pentacam

Sponsor: OCULUS

Updated: 03/11/2021


This FAQ addresses the following:

  1. What tests can be performed with the OCULUS Pentacam® and Pentacam® AXL?
  2. Does Medicare cover anterior segment SCODI (SCODI-A)?
  3. Does Medicare cover external ocular photography and corneal topography?
  4. Does Medicare cover corneal Pachymetry?
  5. Does Medicare cover Zernike and wavefront analysis?
  6. What are Medicare’s reimbursement rates for the covered tests?
  7. What documentation is required in the medical record?
  8. Is it possible to bill for more than one test on the same day?
  9. How frequently may tests with the OCULUS Pentacam be performed?
  10. If coverage of a test is unlikely or uncertain, how should we proceed?