Coding and Cornea Tissue Reimbursement
We have prepared with the Eye Bank Association of America a brochure on Coding and Reimbursement of corneal tissue used for transplant. Cornea acquisition fees are billed to insurance companies in a particular manner to ensure reimbursement. Please down load the attached brochure to help understand the special procedure toe ensure that your facility receives 100% reimbursement.
Full-Fee Cornea Tissue Reimbursement under Medicare Advantage
CMS makes separate payments for the acquisition of corneal tissue for use in corneal transplant and glaucoma shunt procedures. However, there has been some confusion about this policy, which has led to instances in which the tissue was billed incorrectly, and thus not reimbursed by CMS.
These resources were developed by EBAA and AAO to help you secure the reimbursement to which you are entitled by CMS.
- EBAA Cornea Reimbursement-Brochure-4-2015
- Eye Bank Sample Invoice
- Reimbursement Talking Points
- Sample Verification Letter for Physicians
- Sample Appeals Letter for Physicians
- HCPS Listing for Code V2785
- CMS Claim Processing Manual
January 14th webinar recording
January 16th webinar recording