Current Novitas 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, Eylea, Lucentis & Susvimo
Botulinum Toxins
Blepharoplasty
Cataract Surgery
Co-management
Cosmetic Surgery
Electroretinography (ERG)
Lacrimal Punctum Plugs
Lesion Removal
MIGS
Off-label Usage (Drugs and Biologicals)
SCODI
VEP
JL Only - Ophthalmic biometry
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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