Current Palmetto GBA 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. Region covered:
Amniotic Membrane (AMT)
ArgusM II (Retinal prosthesis)
Blepharoplasty
Cataract surgery
Chemodenervation
Comanagement
Corneal Hysteresis
Cosmetic and Reconstructive Surgery
Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza)
Eylea
FA and ICG
Glaucoma screening
Iluvien
Implantable miniature telescope
Laterality Modifiers
Lesion removal
MIGS
Noncovered services
Ophthalmoscopy & fundus photography
Pachymetry
SCODI
YAG Capsulotomy
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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