Reimbursement for Goniotomy or Trabeculotomy AB Interno

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Topic: Goniotomy

Sponsor: MicroSurgical Technology

Updated: 01/01/2022

This FAQ addresses the following:

What is trabeculotomy ab interno, also known as goniotomy?
What are the indications for goniotomy?
What are the contraindications to goniotomy?
Can I use goniotomy as a primary or initial line of treatment for congenital glaucoma?
What CPT code describes goniotomy or trabeculotomy ab interno?
Does health insurance cover glaucoma surgery using goniotomy?
Is goniotomy bundled with other services?
Is goniotomy compatible with ophthalmic endoscopy for reimbursement?
What is the global surgery period for 65820?
What is the Medicare physician reimbursement for goniotomy?
Does Medicare allow a facility fee for goniotomy performed in an ASC or HOPD?

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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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