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Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56916
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: October 1, 2025
Updated: December 31, 2025
See LCD L34760Policy Summary
Medicare Part B covers SCODI (CPT 92133, 92134) when used to evaluate retinal disorders, glaucoma, and anterior segment disorders as specified in LCD L34760. Billing must be submitted to the Part B MAC with same‑day services billed on the same claim, appropriate use of modifiers TC and 26, and services billed only in the designated places of service for the global, technical, and professional components.
Coverage Criteria Preview
Key requirements from the full policy
"SCODI (CPT 92133, 92134) is considered medically reasonable and necessary for evaluation of retinal disorders, glaucoma, and anterior segment disorders as documented in LCD L34760."
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