Medicare Reimbursement for Laser Trabeculoplasty

This FAQ addresses the following:

  1. Does Medicare cover laser trabeculoplasty (LT)?
  2. May I use LT as a primary or initial line of treatment for glaucoma?
  3. What CPT code describes this procedure?
  4. How should this procedure be documented in the medical record?
  5. How much does Medicare reimburse for 65855?
  6. What if there is an immediate postoperative pressure spike? Is the post-operative visit billable?
  7. May I charge for an office visit on the same day as LT?
  8. What is the frequency of LT in the Medicare program?
  9. May I be reimbursed for a repeat LT on the same eye after the 10-day global period?
  10. May LT be done on both eyes on the same day, or within a few days of one another?

 

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