Medicare Reimbursement for Mechanical Pupil Dilation with Malyugin Ring

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Topic: Malyugin Ring

Sponsor: MicroSurgical Technology

Updated: 01/01/2022

This FAQ addresses the following:

What is the Malyugin Ring™ pupil expander?
What are the indications for use of the Malyugin Ring?
Does using the Malyugin Ring qualify as complex cataract surgery?
What CPT codes describe complex cataract surgery?
What characteristics do not make a procedure complex?
What does Medicare allow for complex cataract surgery?
Are 66982, 66987 and 66989 eligible for facility reimbursement?
Is there additional payment for the supply of the Malyugin Ring?
Is complex cataract surgery subject to Medicare’s NCCI edits?
What is the frequency of complex cataract surgery?

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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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