Traditional MedicareCoverageMedium impact
Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Medicare/CMS - LCD·Ophthalmology·Local Coverage Determination
Effective date
Jun 4, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for ophthalmology posterior segment imaging procedures including extended ophthalmoscopy and fundus photography, managed by CGS Administrators for Medicare Part A and Part B. The policy will be effective June 4, 2026, but the specific content and changes are not detailed in the provided information.
Action Required
By June 4, 2026: Ophthalmology practices and billing teams should review the full LCD L34399 policy text at the CMS Medicare Coverage Database to understand specific coverage criteria, documentation requirements, and billing guidelines for posterior segment imaging procedures. Update billing protocols and staff training accordingly based on the complete policy requirements.