OCT Coding Fine Points – Ophthalmology Management

Technology of diagnostic testing equipment continues to advance at a rapid pace. Today, many of the optical coherence tomography devices scan the anterior segment as well as the posterior segment, and as a result are increasingly found in the offices of comprehensive ophthalmologists. Here are some of the questions that I typically receive on the topic.

  • What are the indications for scanning computerized ophthalmic diagnostic imaging of the anterior segment (SCODI-A)?
  • What CPT code should we use to describe SCODI-A?
  • Does Medicare cover SCODI-A, and what is the reimbursement?
  • What are the supervision rules?
  • If SCODI-A and SCODI of the posterior segment (92135) are performed on the same day for the same patient, can both be billed?
  • What documentation is required in the medical record to support claims for SCODI-A?
  • May 92020 (gonioscopy) be used to report imaging of the anterior chamber angle?
  • May I use CPT code 76513 to identify SCODI-A?
  • My device also performs pachymetry. May I use 76514?
  • If SCODI-A is performed for a non-covered indication, who is responsible?

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:


Related Posts

Website by MIC