Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

This billing and coding guidance defers to LCD L33751 for medical necessity of Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) and specifies utilization and documentation requirements. Key limits: one SCODI exam per 28-day month for retinal conditions under active treatment; CPT 92132 and 92133 are each limited to two reports per year (combined), and CPT 92134 is limited to one report every two months. All medical records must be legible, include patient identifiers and provider signature, support the ICD-10 diagnosis, and accurately describe the CPT/HCPCS billed.

"SCODI is indicated for management of patients with retinal conditions who are undergoing active treatment, per LCD L33751 reasonable and necessary guidelines."

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