Medicare Reimbursement for OMNI® Surgical System

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Topic: Canaloplasty

Sponsor: Sight Sciences

Updated: 01/01/2022

This FAQ addresses the following:

What is the OMNI® Surgical System?
What are the indications for OMNI Surgical System?
Are there contraindications for use of the OMNI Surgical System?
What CPT codes describe ab interno canaloplasty and ab interno trabeculotomy?
What does Medicare allow for the surgeon for this procedure?
What does Medicare allow for the facility for this procedure?
Is there separate Part B Medicare reimbursement for the insertable OMNI device?
May gonioscopy (92020) be billed with the claim for the surgery?
Are there other NCCI edits for CPT 66174?
For a combined cataract and glaucoma operation with OMNI, what is the 2022 Medicare reimbursement?
What is the global surgery period for 66174?

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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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