Medicare Reimbursement for Baerveldt Glaucoma Implant

Topic: Aqueous Shunt

Sponsor: J & J MedTech

Updated: 10/12/2022

Johnson & Johnson MedTech

This FAQ addresses the following:

  1. Does Medicare cover implantation of the Baerveldt® Glaucoma Implant?
  2. Is there more than one model of the Baerveldt® glaucoma implant?
  3. What CPT codes describe implantation of a Baerveldt® glaucoma implant?
  4. What is the surgeon’s Medicare reimbursement for 66179 and 66180?
  5. Does Medicare reimburse an ambulatory surgery center (ASC) for this procedure?
  6. How is a hospital outpatient department (HOPD) paid for these procedures?
  7. What is the significance of the J1 indicator?
  8. Is there separate payment for the implant?
  9. Is there separate reporting and payment for a patch graft?
  10. If a revision procedure is performed, is it covered?