Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
6.20
Facility
$427.87
Non-Facility
$532.08
Documentation Required
No specific documentation requirements or coverage documentation checklists are stated in this Clinical Policy Bulletin.
Key Coverage Criteria
None. (This Clinical Policy Bulletin addresses laser photocoagulation of drusen and finds the procedure experimental and investigational for the prevention and treatment of age-related macular degeneration.)