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Reimbursement for OCT screening – Ophthalmology Management

Many practices are considering using OCT for screening. What do you need to know?

This article answers the following questions:

  • Why consider establishing an OCT screening program?
  • What reimbursement issues should we consider with a screening program?
  • How should we code?
  • May we repeat the screening test?
  • Since the test is non-covered as screening, does Medicare limit our charges?
  • If a screening test finds pathology and additional tests are ordered, would insurance then cover those tests?

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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