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Practice Management Considerations for LipiView, DMI, and LipiFlow - TearScience

Last updated on July 15, 2015

© 2015 Corcoran Consulting Group. All rights reserved.

Question 8:

Is there reimbursement for LipiView, DMI, or LipiFlow?

Answer:

In general, all new Category III CPT codes, unless specifically approved for payment by CMS, are non-covered. Additionally, there are no assigned RVUs or payment rates for Category III codes or miscellaneous CPT codes within the Medicare Physician Fee Schedule. At this time, LipiView, DMI, and LipiFlow are categorized as “new technology” and as experimental or investigational by other third party payers. Check with the payer for a current policy or policy change.

    

The reader is strongly encouraged to review federal and state laws, regulations, code sets (including ICD-10), and official instructions promulgated by Medicare and other payers. This document is not an official source nor is it a complete guide on reimbursement. 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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