At ICOP Singapore we heard from several retina specialists of note that ICG is
THE best way to correctly diagnose Polypoidal Degeneration. Several large
clinical trials for Polypoidal utilize ICG as an essential component. So in The
Asia Pacific region where there are the largest populations susceptible to
Polypoidal disease, ICG is still a significant imaging modality. I would say
the Uveitis specialists at Moran Eye Center use it more frequently than others
have reported on this thread
P
Sent from my iPhone
On Jan 29, 2019, at 3:13 PM, CPMC Ophthalmic Diagnostic Center
<dmarc-noreply@xxxxxxxxxxxxx<mailto:dmarc-noreply@xxxxxxxxxxxxx>> wrote:
We do maybe a dozen a year; generally for the Uveitis clinic. PCV,
Chorioretinitis. Not that common.
Hospital setting would have kittens going off label and refrigerating dose to
keep it. Private practices only can get away with that.
I was at the RHEM meeting last week. Steve Charles, MD, Mr. Retina, publically
stated that he hardly ever orders FA anymore and that “not necessary to have an
imager do it”. Thanks Steve.
WHEN we do ICG, we do a combo FA/ICG using the 2cc added to the 2cc FA and
Spectralis. Works great.
You cannot bill separately for the contrast media under any circumstance; it is
bundled into the procedure itself. Sutter tried their darndest to get around
that rule without success. Nice to have on site, on payroll billing and
coding experts at your disposal, thus I can speak with some authority here.
Believe me, if you could do it, Sutter would find a way.
4 ICG patients within a 36 hour period would be stretching it statistically;
the applications are not % found that widely in the human condition. Must be a
VERY busy retinal practice.
Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011