Medicare Reimbursement for SCODI of the Anterior Segment

There are many indications for SCODI-A. These include assessment of both corneal flap thickness and residual stromal thickness following LASIK, measurement of corneal thickness, evaluation of anterior segment ocular structures, and measurement of anterior chamber angles, depth and diameter.

This FAQ addresses the following:

1. What is SCODI of the anterior segment (SCODI-A)?
2. What are the indications for SCODI-A?
3. What CPT code should we use to describe SCODI-A?
4. Is SCODI-A covered by Medicare?
5. What is the reimbursement for 92132?
6. Is the physician’s presence required while SCODI-A is being performed?
7. What documentation is required in the medical record to support claims for SCODI-A?
8. How frequently may this test be performed?
9. Are there restrictions on other codes that may be billed the same day?
10. If coverage of SCODI-A is unlikely or uncertain, how should we proceed?

 

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