Reimbursement for the Molteno3 Glaucoma Drainage Device

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Topic: Aqueous Shunt

Sponsor: Nova Eye Medical

Updated: 07/22/2020

This FAQ addresses the following:

Does Medicare cover implantation of the Molteno3® Glaucoma Aqueous Drainage Device?
Is there more than one variety of the Molteno3 Glaucoma Drainage Device?
What CPT codes describe this procedure?
What is the surgeon’s reimbursement for 66179 and 66180?
Does Medicare reimburse an ambulatory surgery center (ASC) for these procedures?
How is a hospital outpatient department (HOPD) paid for these procedures?
What is the significance of the J1 indicator?
Is there separate payment for the implant?
If a patch graft is used, are there any coding changes depending on the type of graft material?
If a revision procedure is needed, is it covered?
Are there bundles to be aware of when using one of these codes?

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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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