Ocular Surface Disease Diagnosis and Treatments - Medicare Advantage

Covers diagnosis and treatment of ocular surface disease (OSD) and dry eye disease (DED), including ophthalmologic evaluation (ocular surface staining, Schirmer/phenol red thread, tear break‑up time), and procedural/advanced therapies (e.g., punctal procedures, amniotic membrane, scleral/hydrophilic contact lenses) under Medicare Part A/B. Applies to symptomatic OSD/DED populations — including Sjögren’s syndrome and meibomian gland dysfunction — and requires supportive exam/testing plus documented failure of first‑line therapies (artificial tears, eyelid hygiene/warm compresses, topical steroids/antibiotics, environmental measures) before advanced procedures; coverage follows applicable MAC LCDs and jurisdictional rules.

"92499 Unlisted ophthalmological service or procedure"

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