Using OCT for Screening: Who Pays? – Ophthalmology Management

Some diagnostic tests may be performed as screening tests for patients who do not manifest disease but may be at risk. This month we discuss OCT in this context.

This article answers the following questions:

  • Why consider using optical coherence tomography for screening?
  • How does the reason for the test relate to reimbursement?
  • If a screening test reveals pathology and additional tests are ordered, would they then be covered by insurance?
  • What should we tell patients about screening tests?
  • How should we track the screening service in our computer system?
  • May we repeat the screening test?
  • Does an analysis of the OCT justify an additional charge?
  • What documentation is required in the patient’s medical record in addition to the screening digital image?

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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