CPT® Code 0606T

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 Complications Patients at risk for complications such as retinal fluid accumulation, leakage, and choroidal neovascularization.

2. Procedure

The procedure for remote optical coherence tomography (OCT) involves several key steps to ensure accurate image capture and data transmission. Each step is designed to facilitate the patient's ability to perform the test independently while ensuring that the data collected is reliable for clinical evaluation.

• 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 align their eyes with the binoculars, and the process for capturing images. The goal is to ensure that the patient feels comfortable and confident in using the device.
• Step 2: Image Capture The patient initiates the OCT imaging by positioning their eyes at the device's binoculars. The device captures high-resolution images of the retina, which are essential for assessing the condition of the retinal structures. The imaging process is designed to be straightforward, allowing patients to perform it without the assistance of a technician.
• Step 3: Data Transmission After the images are captured, the device utilizes a proprietary algorithm that employs artificial intelligence to analyze the data. The results are compiled into a report that is automatically transmitted to a remote surveillance center for further evaluation.
• Step 4: Review and Interpretation The prescribing physician or another qualified healthcare professional reviews the transmitted data analyses. This review occurs every 30 days, allowing for timely adjustments to the patient's treatment plan based on the findings.

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 data collected. Patients are encouraged to continue regular follow-ups with their healthcare provider to discuss the results of the OCT analyses. The remote nature of this procedure allows for more frequent assessments without the need for in-person visits, which can be particularly beneficial for patients with mobility issues or those living in remote areas. Additionally, patients should be informed about the importance of reporting any new symptoms or changes in vision to their healthcare provider promptly. This proactive approach ensures that any significant changes in their retinal condition can be addressed quickly, thereby optimizing their treatment outcomes.