Medicare Reimbursement for Baerveldt® Glaucoma Implants

Topic: Aqueous Shunt

Sponsor: Johnson & Johnson Vision

Updated: 10/10/2022

Johnson & Johnson MedTech

This monograph is designed to address the reimbursement issues associated with implantation of the anterior chamber and pars plana Baerveldt® glaucoma implants. Medicare reimbursement for these surgical procedures and the associated devices involves several issues. These include Medicare coverage guidelines, the locations where services are rendered, the surgical procedures performed, associated tissue grafts, and the various coding systems that apply to claims submission.

This discussion addresses these variables in order to provide the reader with a comprehensive understanding of the topic. Three different aspects are considered: the surgeon, the facilities, and the prosthetic devices.