Reimbursement for Hydrus® Microstent

We know changes in the marketplace are causing some confusion with surgical glaucoma procedures. One thing is clear, the cataract plus micro-stent procedure continues to have strong coverage and reimbursement. The 2024 OPPS rule released by CMS on November 2, 2023 finalized significant payment increases for the combined procedure. This FAQ addresses the following:

Read More

Medicare Reimbursement for Discarded Drugs

When a provider discards remaining drug in a single-use container after administering a dose, Medicare provides payment for the discarded amount, as well as the dose administered, up to the amount designated in the single-use container. This FAQ addresses the following:

Read More

Medicare Reimbursement for Intraoperative Visual Axis Identification

During cataract surgery, the surgeon relies on anatomical markers for orientation, chiefly the pupil. In a normal eye, with monocular fixation under the operating microscope, the corneal light reflex that corresponds with the visual axis is displaced nasally about 0.5mm from the center of the pupil; this is known as positive angle kappa. Patients vary…

Read More