Medicare Reimbursement for Baerveldt Glaucoma Implant
Topic: Aqueous Shunt
Sponsor: J & J MedTech
Updated: 10/12/2022
This FAQ addresses the following:
- Does Medicare cover implantation of the Baerveldt® Glaucoma Implant?
- Is there more than one model of the Baerveldt® glaucoma implant?
- What CPT codes describe implantation of a Baerveldt® glaucoma implant?
- What is the surgeon’s Medicare reimbursement for 66179 and 66180?
- Does Medicare reimburse an ambulatory surgery center (ASC) for this procedure?
- How is a hospital outpatient department (HOPD) paid for these procedures?
- What is the significance of the J1 indicator?
- Is there separate payment for the implant?
- Is there separate reporting and payment for a patch graft?
- If a revision procedure is performed, is it covered?