Medicare Reimbursement for the Hydrus® Microstent

Topic: Hydrus Microstent

Sponsor: Ivantis

Updated: 08/05/2022

Ivantis

This monograph describes reimbursement for surgery to implant the Alcon Hydrus® Microstent for primary open-angle glaucoma.

Much of the information in this document is taken from official publications of the Medicare program. The reader is encouraged to check with the local Medicare Administrative Contractor (MAC) for additional information and instructions. For other third-party payers, we have used the coding concepts contained in CPT and published by the American Medical Association; diagnosis codes are from ICD-10-CM.

Documentation of surgery, and the medical rationale for it, is key to reimbursement so we describe the required elements in detail. For added perspective, we discuss the utilization trends for glaucoma surgery as well as the current Medicare payment rates.