Medicare AdvantageBilling CodesMedium impact
MA07.004k, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Independence Blue Cross·Ophthalmology·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
INCOMPLETE POLICY DATA: The provided policy information contains only header/metadata for MA07.004k (Scanning Computerized Ophthalmic Diagnostic Imaging - SCODI) but does not include the actual policy content needed to extract specific billing codes, coverage changes, or actionable requirements. Full policy text must be reviewed to provide accurate billing guidance.
Action Required
URGENT: Obtain and review the complete policy text from https://medpolicy.ibx.com/ibc/ma/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=01&FilterField2=MPSiteActivityLogYear&FilterValue2=2026#medicare-advantage-ma07-004k-scanning-computerized-ophthalmi before the October 1, 2025 effective date. Billing team must extract specific CPT/HCPCS codes related to ophthalmic imaging (likely 92004, 92012, 92014, 76512, 76513, or similar), identify any prior authorization requirements, documentation mandates, or coverage exclusions. Update billing software rules, encounter templates, and staff training accordingly. Policy is classified as 'Medical Coding' type change, suggesting code-specific modifications are required.