Medicare Reimbursement for Corneal Pachymetry (ANTERION®)

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Topic: Corneal Pachymetry

Sponsor: Heidelberg Engineering

Updated: 04/01/2025

This FAQ addresses the following:

What is corneal pachymetry performed with Heidelberg Engineering’s ANTERION®?
What are the indications for corneal pachymetry?
What CPT code describes this test?
What documentation is required in the medical record to support a claim for corneal pachymetry?
Does Medicare pay for this test?
Is the physician’s presence required while optical pachymetry is being performed?
How much does Medicare allow for this test?
How frequently is this test performed?
If coverage is unlikely or uncertain, how should we proceed?

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The reimbursement information is provided by Corcoran Consulting Group based on publicly available information from CMS, the AMA, and other sources. The reader is strongly encouraged to review federal and state laws, regulations, code sets, and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. Although we believe this information is accurate at the time of publication, the reader is reminded that this information, including references and hyperlinks, changes over time, and may be incorrect at any time following publication.

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