HealthNow allows one SCODI per eye per month for macular degeneration

Why This Topic Matters

Payer policy changes can alter whether an ophthalmic diagnostic service is considered reasonable, how often it may be performed, and how it relates to other eye testing services. Understanding this update helps practices align documentation and billing workflows with current carrier expectations.

Article Sections

1. Macular degeneration and retinal disorders

   This section discusses the use of ophthalmic diagnostic imaging for retinal conditions and the payer’s general utilization approach. It also notes the policy effective date and the scope of retinal disorder guidance.

2. Glaucoma

   This section covers payer guidance for glaucoma-related use of the imaging service. It summarizes the article’s discussion of frequency expectations across different levels of disease severity.

3. Related ophthalmic tests

   This section addresses other eye diagnostic services mentioned in connection with the imaging service. It focuses on reporting relationships among commonly used ophthalmic tests.