Introduction to AT-IOLs
AT-IOLs provide additional refractive correction for astigmatism and/or presbyopia, reducing the need for glasses after cataract surgery.
Billing and Reimbursement Considerations
CMS does not consider the additional refractive correction provided by AT-IOLs to be a covered benefit, and Medicare does not reimburse the physician or facility for the additional costs associated with the implantation of an AT-IOL.
The “dual-aspect payment model” allows the physician and facility to charge a patient for the non-covered component of cataract surgery with the implantation of an AT-IOL.
Patient Responsibility and Billing Codes
The patient is responsible for the physician and facility charges for the services and supplies that exceed the charges for implantation of a conventional IOL.
Specific CPT and HCPCS codes are associated with billing for AT-IOLs, including codes for astigmatism-correcting and presbyopia-correcting functions.
Manual:
Download: Advanced Technology IOLs (AT-IOLs) Billing and Coding Guide
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