Thank you for visiting our website. Our office is beginning to reopen, although our home office in San Bernardino is not fully staffed. The home office is open Monday – Thursday each week, and some Fridays We have employees working from home to answer your questions and our Consultants are available, as always. We are still conducting live webinars; please check the listings for dates and times. Please contact us at help@corcoranccg.com or leave a voicemail at (800) 399-6565. We will respond to your inquiries as soon as possible.

Reimbursement for Intrastromal Corneal Ring Segments (OASIS Medical)

This monograph addresses the reimbursement issues associated with the surgical treatment of keratoconus with intrastromal corneal ring segments (ICRS), and particularly with Intacs® prescription inserts.

In July, 2004, the FDA granted a Humanitarian Device Exemption (HDE) for the Intacs prescription inserts for keratoconus (H040002).  Reimbursement for this surgical procedure and the Intacs themselves involves a number of issues.  These include indications for surgery, coding for the surgical procedure, coding for ICRS, and the coverage policy of third party payers.  Since technology advances faster than the payment policies of payers, physicians and other providers frequently experience frustration with reimbursement issues. 

In this document, we identify the applicable CPT, HCPCS, ICD codes, and modifiers for filing claims.  We discuss practical considerations related to prior authorization, patient financial responsibility, and appeal of denied claims.  We discuss expected utilization in the context of FDA’s expectations and in contrast to corneal transplant surgeries.

 

 

Click here to download as PDF

Provided Courtesy of OASIS Medical.

 

Purchase the Monograph Library: 

Price: $575.00

 

For best results, please view in Mozilla Firefox.

Website by MIC