Current Noridian 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
Cataract surgery
Category III codes
Dropless cataract surgery
JW modifier
Lesion removal
MIGS
Noncovered services
Remote Imaging of the Retina to Screen for Retinal Diseases
Cosmetic vs reconstructive surgery
Incident to Services
JW Modifier
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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