Medicare Reimbursement for SCODI of the Posterior Segment

SCODI-P is computerized ophthalmic diagnostic imaging of the posterior segment. It is a diagnostic test that includes confocal laser scanning ophthalmoscopy, scanning laser polarimetry, and optical coherence tomography. It provides digital images of the retinal nerve fiber layer, and topo-graphic measurement of the optic nerve head as well as the surrounding retina..

This FAQ addresses the following:

  1. What is SCODI of the posterior segment (SCODI-P),?
  2. What are the indications for SCODI-P?
  3. Does Medicare cover SCODI-P?
  4. What documentation is required in the medical record to support claims for SCODI-P?
  5. What CPT code should we use to describe SCODI-P?
  6. Is the physician’s presence required while SCODI-P is being performed?
  7. How frequently is SCODI-P performed?
  8. How much does Medicare allow for this test?
  9. What payment restrictions or bundles exist with SCODI-P and other ophthalmic services?
  10. How often may SCODI-P be repeated?


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