Current National Government Services local coverage determination policies for common ophthalmic procedures. For achived/previous versions, scroll to the "associated documents" section of each policy. Each archived version includes the date it was updated and when it was in effect.
Note: This MAC has different policies based on the region/jurisdiction.
Avastin
Blepharoplasty
Botox
Category III Codes
Cataract Surgery
Corneal Hysteresis
Corneal Pachymetry
Drugs and Biologicals
Eylea/ Lucentis/Beovu/Vabysmo/Byooviz/Cimerli
Implantable Miniature Telescope
Lesion Removal
Micro-Invasive Glaucoma Surgery (MIGS)
Noncovered Services
Ophthalmic Biometry
Ophthalmoscopy and Fundus Photography
Panretinal Laser Photocoagulation (PRP)
SCODI
Visual Evoked Potential (VEP)
Visual field
Find retired polices on the CMS.gov site, using these steps:
Note: Coding regulations and edits can change often. Academy coding advice is based on current information. Visit aao.org/coding for the most recent updates. Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only.
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