Medicare local coverage
Medicare coverage for Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (LCD)
5 Medicare Administrative Contractors publish a local coverage determination (LCD) for Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI). The snapshot lists 5 LCD records: 5 active.
An LCD applies only in the jurisdiction of the contractor that wrote it. Two contractors can cover the same service with different criteria, documentation requirements and covered diagnoses, so check the LCD from the contractor that processes your claims.
LCDs by contractor
| Contractor | LCD | Status | Last updated |
|---|---|---|---|
CGS Administrators, LLCMAC - Part A, MAC - Part B | L34061 | Active | Jul 27, 2026 |
First Coast Service Options, Inc.MAC - Part A, MAC - Part B | L33751 | Active | Jan 28, 2022 |
Palmetto GBAMAC - Part A, MAC - Part B | L34431 | Active | Aug 2, 2021 |
Wellpoint FederalMAC - Part A, MAC - Part B | L34380 | Active | Jul 14, 2026 |
WPS Insurance CorporationMAC - Part A, MAC - Part B | L34760 | Active | Jun 17, 2025 |
An LCD marked Future has been finalized and is in its notice period; it applies from the effective date shown. LCD IDs link to the record on cms.gov.
Billing and coding articles
The codes live in the billing and coding article that goes with each LCD: the CPT and HCPCS codes the policy applies to, the ICD-10 codes that support medical necessity, and any modifier or documentation rules.
- A56537Wellpoint FederalUpdated Jul 14, 2026
- A56692CGS Administrators, LLCUpdated Jul 27, 2026
- A56825Palmetto GBAUpdated Aug 14, 2025
- A56916WPS Insurance CorporationUpdated Apr 21, 2026
- A57600Novitas Solutions, Inc.Updated Sep 26, 2025
- A57804First Coast Service Options, Inc.Updated Sep 26, 2025
Check claim lines against Medicare coverage
Coverage Check tells you whether a claim's diagnoses support Medicare LCD or NCD coverage for each procedure line, and shows the policy and CMS source behind each answer.
Related LCD topics
- Scanning Computerized Ophthalmic Diagnostic Imaging
- Allergy Diagnostic Testing
- Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
- Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
- Cardiac Radionuclide Imaging
- Colonoscopy and Sigmoidoscopy-Diagnostic
All Medicare LCD topics · National coverage determinations · Payer policies by payer
Source: CMS Medicare Coverage Database, via the public CMS Coverage API, snapshot Oct 25, 2026. LCDs change between snapshots; confirm the version in effect for your date of service on cms.gov before billing.