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Laser-Assisted Cataract Surgery and CMS Rulings 05-01 and 1536-R

Guidance for CMS Rulings 05-01 and 1536-R. These rulings allow the beneficiary to pay additional charges for two specific categories of non-covered services: The portion of the facility or physician’s charge for the PC-IOL or AC-IOL that exceeds the facility or physician’s charge for insertion of a conventional intraocular lens (IOL) following cataract surgery. Facility or physician charges for resources required for fitting and vision acuity testing of a PC-IOL or AC-IOL that exceeds the facility or physician charges for resources furnished for a conventional IOL following cataract surgery.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 16, 2012

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