LCD/NCD Portal

NCD80.12

 

INTRAOCULAR LENSES (IOLS)

 

Effective Date of this Version

5/19/1997

 

Benefit Category

• Prosthetic Devices.

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Item/Service Description

• An intraocular lens, or pseudophakos, is an artificial lens which may be implanted to replace the natural lens after cataract surgery.

 

Indications and Limitations of Coverage

• Intraocular lens implantation services, as well as the lens itself, may be covered if reasonable and necessary for the individual.

• Implantation services may include hospital, surgical, and other medical services, including pre-implantation ultrasound (A-scan) eye measurement of one or both eyes.

 

Cross Reference

• See the Medicare Benefit Policy Manual, Chapter 6 §10, Chapter 15 §120, and Chapter 16 §§20 and 90.

 

Claims Processing Instructions

• TN 914 (Medicare Claims Processing)

 

Medicare NCD Link