PA Lookup
If you have questions about prior authorizations, please call:
Member and Recipient Service Line: 1-877-685-2415
Provider Support Service Line: 1-855-250-1539
Keratoprosthesis
How to Submit
N/A - No authorization is required
Radial keratotomy
How to Submit
N/A - No authorization is required
Corneal relaxing incision for correction of surgically induced astigmatism
How to Submit
N/A - No authorization is required
Corneal wedge resection for correction of surgically induced astigmatism
How to Submit
N/A - No authorization is required
1T-2, Special Ophthalmological Services
Special ophthalmological services are special evaluations of the visual system, which go beyond services included under general ophthalmological services. Interpretation and report by the physician is an integral part of special ophthalmological services where indicated. Special ophthalmological services include the following procedures:
Limits
Separate Procedures Special Ophthalmological Services include procedures and services that are designated as separate procedures. A separate procedure is one that is carried out as an integral component of a total service or procedure. The services or procedures designated as separate procedures must not be billed in addition to the total procedure or service of which it is considered an integral component. These services or procedures must be reported only when performed independently, unrelated or distinct from other procedures or services provided.Contact Lens Fitting for Treatment Fitting of contact lens for treatment of disease and for management of keratoconus is limited to four lenses per 365 days.
Scanning Computerized Ophthalmic Diagnostic Imaging
- a. Pre-glaucoma beneficiary or a beneficiary with mild damage amay receive one SCODI per 365 days.
- b. A Beneficiary with moderate damage may
receive up to two SCODIs per 365 days OR one SCODI and one visual field per 365 days if medically necessary. When both tests are performed, only one of each test is covered per 365 days.
Fundus Photography Fundus photography studies are limited to one per 365 days for detection and interpretation of diabetic retinopathy in a beneficiary with a diagnosis of diabetes mellitus.
Length of Stay
beneficiaries are each limited to 2 times per year.
Exclusions
Computerized Corneal Topography Medicaid shall not cover computerized corneal topography for any of the following:
- a. routine follow-up testing;
- b. repeat testing if not indicated by a change of vision as reported in connection
with one of the listed conditions in Subsection 3.2.3;
- c. on the same date of service as keratoplasty; or
- d. services performed for screening purposes.Sensorimotor Examination
Medicaid shall not cover a sensorimotor exam if there is not a complaint and the beneficiary’s condition is properly controlled. A repeat exam shall not be covered for any of the following:
- a. when there is no change in the treatment plan;
- b. no new symptoms are present; or
- c. the previous result was reliable.Fitting of Therapeutic Contact Lens
Medicaid shall not cover fitting of therapeutic contact lens on the same date of surface as a cornea procedure.Scanning Computerized Ophthalmic Diagnostic Imaging Medicaid shall not cover SCODI for the following:
- a. to further validate a diagnosis that has been confirmed through earlier
detection;
- b. for a beneficiary with advanced glaucomatous damage; instead, visual fields
must be performed;
- c. when performed as screening; or
- d. SCODI of the optic nerve and SCODI of the retina are not covered on the
same date of service. Ophthalmic biometry Medicaid shall not cover ophthalmic biometry (Optical Coherence Biometry - OCB) by partial coherence interferometry on the same date of service as ophthalmic biometry by ultrasound echography, A-scan. Fundus Photography Medicaid shall not cover fundus photography for any of the following:
- a. to screen or evaluate retinal conditions other than diabetic retinopathy;
- b. when the final composite image captured does not include the entire Diabetic
Retinopathy Study seven-standard field area (DRS 7); or
- c. when the final retinal images are graded using an automatic process only.
Place of Service
Inpatient, outpatient, office
How to Submit
N/A - No authorization is required
Resources
Placement of amniotic membrane on the ocular surface; single layer, sutured
How to Submit
N/A - No authorization is required
Ocular surface reconstruction; amniotic membrane transplantation, multiple layers
Authorization Guidelines
See the Carolina Complete Health site for specific requirements
Reauthorization Guidelines
See the Carolina Complete Health site for specific requirements
How to Submit
Please submit your request to Carolina Complete Health through Availity
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor)
Authorization Guidelines
See the Carolina Complete Health site for specific requirements
Reauthorization Guidelines
See the Carolina Complete Health site for specific requirements
How to Submit
Please submit your request to Carolina Complete Health through Availity
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)
Authorization Guidelines
See the Carolina Complete Health site for specific requirements
Reauthorization Guidelines
See the Carolina Complete Health site for specific requirements
How to Submit
Please submit your request to Carolina Complete Health through Availity
Implantation of intrastromal corneal ring segments
How to Submit
N/A - No authorization is required
Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous
How to Submit
N/A - No authorization is required
Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection
How to Submit
N/A - No authorization is required
Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection
How to Submit
N/A - No authorization is required
Goniotomy
How to Submit
N/A - No authorization is required
Trabeculotomy ab externo
How to Submit
N/A - No authorization is required
Trabeculoplasty by laser surgery
How to Submit
N/A - No authorization is required
Severing adhesions of anterior segment, laser technique (separate procedure)
How to Submit
N/A - No authorization is required
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae
How to Submit
N/A - No authorization is required
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae
How to Submit
N/A - No authorization is required
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae
How to Submit
N/A - No authorization is required
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