CMSNational Coverage Determination (NCD)

Intraocular Lenses (IOLs) Form

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Intraocular Lens (IOL) implantation

Notes: Coverage includes hospital, surgical, and other medical services, such as pre-implantation ultrasound eye measurement.

Indications

(162822) Is the Intraocular Lens implantation considered reasonable and necessary for the patient? 
(162823) Is the implantation being performed following cataract surgery? 

Contraindications

(162824) Is the Intraocular Lens implantation being performed for a non-medical reason, such as for cosmetic purposes? 
Effective Date

05/19/1997

Last Reviewed

NA

Original Document

  Reference



Background for this Policy

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

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.

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