CPT® Code 0605T

1. Indications

The remote optical coherence tomography (OCT) procedure is indicated for patients with specific retinal conditions that require ongoing monitoring and assessment. These include:

• Neovascular Retinal Diseases Patients with conditions such as exudative age-related macular degeneration, which can lead to blindness if not properly managed.
• Monitoring Treatment Needs Individuals who require regular evaluation of retinal structures to determine the effectiveness of ongoing treatments for eye diseases.
• Early Detection of Retinal Changes Patients at risk of developing complications such as retinal fluid accumulation, leakage, or choroidal neovascularization.

2. Procedure

The procedure for remote optical coherence tomography (OCT) involves several key steps to ensure accurate image capture and data transmission. These steps include:

• Step 1: Patient Preparation The patient receives a brief tutorial on how to operate the home OCT device. This tutorial covers the positioning of the device, how to capture images, and the importance of consistent daily recordings.
• Step 2: Image Capture The patient initiates the imaging process by positioning their eyes at the built-in binoculars of the device. The device captures high-resolution images of the retina, which can be done independently by the patient.
• Step 3: Data Transmission After capturing the images, the device transmits the data to a remote surveillance center. This transmission is crucial for subsequent analysis and reporting.
• Step 4: Data Analysis At the remote surveillance center, a proprietary algorithm utilizing artificial intelligence performs an automated analysis of the captured images. This analysis identifies any significant changes in the retinal structures.
• Step 5: Reporting The results of the analysis are compiled into a report, which is then sent to the treating physician. This report includes findings from a minimum of 8 daily recordings over a 30-day period, allowing for timely clinical decision-making.

3. Post-Procedure

Post-procedure care for patients utilizing remote optical coherence tomography (OCT) primarily involves the ongoing monitoring of their retinal health based on the reports generated from the captured images. Patients are encouraged to continue regular use of the device as instructed, ensuring that they capture the required daily recordings. The treating physician will review the reports to assess any changes in the patient's condition and determine if further intervention is necessary. This proactive approach allows for timely adjustments to treatment plans, ultimately supporting better management of retinal diseases and preserving vision. Additionally, patients should be informed about the importance of reporting any new symptoms or changes in vision to their healthcare provider promptly.