Medicare Reimbursement for the TECNIS Eyhance IOLs

Topic: IOLs

Sponsor: J & J MedTech

Updated: 06/16/2021

Johnson & Johnson MedTech

This FAQ addresses the following:

  1. For Medicare reimbursement, how are TECNIS Eyhance™ IOLs classified?
  2. Is the Medicare beneficiary financially responsible for any portion of these IOLs?
  3. Prior to implantation of these IOLs, what tests are indicated and covered?
  4. Prior to implantation of these IOLs, what tests are not covered?
  5. How are charges determined for noncovered tests?
  6. What guidance did CMS, AAO, and ASCRS provide for the use of a femtosecond laser during cataract surgery?
  7. What guidance did CMS, provide for the use of a femtosecond laser for keratoplasty?
  8. What documentation informs a beneficiary of financial responsibility for noncovered items and services?