Screening Testing with SCODI

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Topic: SCODI

Sponsor: ZEISS

Updated: 01/01/2017

This FAQ addresses the following:

What do ZEISS’ CIRRUS™ HD-OCT and CIRRUS photo instruments do?
What reimbursement issues affect the use of SCODI for screening?
When a physician uses SCODI for screening consenting patients, who is responsible for payment?
How are non-covered well-vision tests differentiated from covered diagnostic tests?
If the OCT scan reveals pathology and additional tests are ordered, would they be covered?
What should we tell patients about an OCT scan?
If we use a financial waiver form, what form do we ask the patient to sign?
What documentation is required in the patient’s medical record?
How should we track the SCODI (OCT) screening scan in our billing system?
May we repeat the SCODI (OCT) screening test?

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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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