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Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56537
National Government Services, Inc. (J06)
Effective: October 1, 2025
Updated: December 31, 2025
See LCD L34380Policy Summary
SCODI services are covered when they meet the medical necessity criteria specified in LCD L34380 and are documented in the medical record. Claims must include a valid ICD-10-CM diagnosis code and, when required, the referring/ordering physician's name and NPI; procedure codes may be subject to NCCI or OPPS edits which can affect payment.
Coverage Criteria Preview
Key requirements from the full policy
"Scanning computerized ophthalmic diagnostic imaging (SCODI) is covered when the service meets the medical necessity criteria and is included within Local Coverage Determination L34380."
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