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Medicare Reimbursement for Corneal Topography

Topic: Corneal Topography

Sponsor: Corcoran Consulting Group

Updated: 01/20/2020

Corcoran Consulting Group

Corneal topography is most frequently used for the diagnosis and management of corneal diseases, disorders, abnormalities, or injuries.  Covered diagnoses include irregular astigmatism, keratoconus, and complication of corneal graft.  Check your local coverage determination (LCD) policy for additional indications.

This FAQ addresses the following:

  1. What is corneal topography?
  2. What diagnoses are typically covered and support a claim?
  3. What documentation is required in the medical record to support claims for corneal topography?
  4. What CPT code is used to describe thi test?
  5. What is the reimbursement for 92025?
  6. Will Medicare cover corneal topography prior to cataract surgery?
  7. Must the physician be in the office while corneal topography is being performed?
  8. How often may this test be repeated?
  9. Is corneal topography bundled with other services?
  10. What is Medicare’s position on corneal topography and refractive surgery?
  11. If coverage of corneal topography is unlikely or uncertain, how should we proceed?