Reimbursement for Hydrus® Microstent

Topic: Hydrus® Microstent

Sponsor: Corcoran Consulting Group

Updated: 11/14/2023

Corcoran Consulting Group

We know changes in the marketplace are causing some confusion with surgical glaucoma procedures. One thing is clear, the cataract plus micro-stent procedure continues to have strong coverage and reimbursement. The 2024 OPPS rule released by CMS on November 2, 2023 finalized significant payment increases for the combined procedure.

This FAQ addresses the following:

  1. What is Hydrus Microstent?
  2. What is the indication for Hydrus?
  3. Do Medicare and other payors cover?
  4. Where can I get specific billing guidance for Hydrus?
  5. What do practice guidelines say about the use of implantable microstents for glaucoma surgery?
  6. What CPT describes implantation of Hydrus?