Medicare Reimbursement for CUSTOMFLEX® ARTIFICIALIRIS

Topic: Artificial Iris

Sponsor: Veo Ophthalmics

Updated: 01/14/2022

Veo Ophthalmics

This FAQ addresses the following:

  1. What is the CUSTOMFLEX® ARTIFICIALIRIS?
  2. What is the FDA status of the device?
  3. What are the indications for use?
  4. How is the artificial iris implanted?
  5. Will Medicare cover the artificial iris and its implantation?
  6. What HCPCS code describes this prosthetic device?
  7. What CPT code is used to report implantation?
  8. How does Medicare reimburse the surgeon?
  9. What is the Medicare payment to the HOPD?
  10. What is the Medicare payment to the ASC?