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Clarifying SCODI – Ophthalmology Management

Scanning computerized ophthalmic diagnostic imaging (SCODI) for the posterior segment is a diagnostic test that has been available to ophthalmologists for years and continues to be valuable. There are a number of devices to perform SCODI, including but not limited to: GDx (Carl Zeiss Meditec, Dublin, Calif.), HRT (Heidelberg Engineering, Vista, Calif.) and Stratus OCT (Carl Zeiss Meditec), to name a few of the popular products.

This article answers the following questions:

  • Does Medicare cover SCODI?
  • What CPT code should we use to describe SCODI?
  • What documentation is required in the medical record to support claims for SCODI?
  • Must the physician be present while SCODI is being performed?
  • Are there payment restrictions or bundles with 92135?
  • How much does Medicare allow for 92135?
  • How often may this test be repeated?

This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below:

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