If it is performed as part of pre-operative assessment of members with cataracts (see CPB 0508 - Cataract Removal Surgery).Repeat testing to monitor disease progression in keratoconus or Terrien's marginal degeneration may be necessary over time.Ĭomputerized corneal topography is considered experimental and investigational because the effectiveness of this approach has not been established for the following: Pre- and post-penetrating keratoplasty and post kerato-refractive surgery for irregular astigmatism (subject to medical necessity criteria for these procedures - see CPB 0023 - Corneal Remodeling) orįootnote1*Generally, 1 testing for each eye is sufficient for fitting, unless there is some reason for repeat testing conducted in the medical record, such as a change in the member's condition from the prior examination.Difficult fitting of contact lens (see CPB 0126 - Contact Lenses and Eyeglasses) Footnote1* or.Diagnosing and monitoring disease progression in keratoconus or Terrien's marginal degeneration or.Corneal dystrophy, bullous keratopathy and complications of transplanted cornea or.This Clinical Policy Bulletin addresses computerized corneal topography.Īetna considers computerized corneal topography medically necessary for any of the following conditions: Number: 0130 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References
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