Hydrophilic Contact Lens For Corneal Bandage

Medicare covers FDA-approved hydrophilic contact lenses when used as a moist corneal bandage and furnished as a supply incident to a physician's service under §1861(s)(2). Common covered indications include bullous keratopathy, dry eye, corneal ulcers/erosion, keratitis, corneal edema, descemetocele, corneal ectasia, Mooren's ulcer, anterior corneal dystrophy, and neurotrophic keratoconjunctivitis; evidence of FDA approval and documentation linking the lens to the physician's service are required. Payment for the lens is included in the payment for the associated physician's service and non-FDA-approved lenses or lenses not incident to a physician's service are not covered under this provision.

"A hydrophilic contact lens that is FDA-approved is covered when used as a supply incident to a physician's service under §1861(s)(2)."

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