S3000 Bilat dil retinal exam

Diabetic indicator; retinal eye exam, dilated, bilateral

Medicare pricing for S3000

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S3000

Payer coverage policies that name S3000

S3000 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaRetinopathy Telescreening Systems (0563)listed, no stanceAug 6, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • CO: $128.59 (health_first_colorado), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.