Does S0800 require prior authorization?

No, S0800 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for S0800?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Correction of surgically induced astigmatism with a corneal relaxing incision or corneal wedge resection is consideredmedically necessarywhenallof the following criteria are met:
The astigmatism is the result of a previous cataract surgery, medically necessary refractive surgery, scleral buckling for retinal detachment, or corneal transplant;and
The degree of astigmatism is 3.00 diopters or greater;and
The medical record documents inadequate functional vision with any of the following: (1) contact lenses, (2) spectacles, or (3) contact lenses and spectacles.
Laser in-situ keratomileusis (LASIK), laser epithelial keratomileusis (LASEK), photorefractive keratectomy (PRK), and photoastigmatic keratectomy (PARK or PRK-A) are consideredmedically necessarywhenallof the following are met:
Prior cataract, corneal, or scleral buckling surgery for retinal detachment has been performed on this eye;and

ANTHEM-CG-SURG-77, CG-SURG-77 Refractive Surgery

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