Reimbursement for Laser Photocoagulation

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Topic: Laser Photocoagulation

Sponsor: Nidek

Updated: 05/10/2018

This FAQ addresses the following:

What are Nidek’s GYC-500 and GYC-500 Vixi lasers?
What are the indications for laser photocoagulation treatment of the eye?
Are these laser procedures covered by Medicare and other payers?
What CPT codes describe laser photocoagulation of the eye?
Are these codes bundled with other services?
What does Medicare allow for these procedures?
If we need to repeat laser photocoagulation, is it billable?

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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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