Does S0800 require prior authorization?

No, S0800 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for S0800?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Correction of surgically induced astigmatism with a corneal relaxing incision or corneal wedge resection is consideredmedically necessarywhenallof the following criteria are met:
The astigmatism is the result of a previous cataract surgery, medically necessary refractive surgery, scleral buckling for retinal detachment, or corneal transplant;and
The degree of astigmatism is 3.00 diopters or greater;and
The medical record documents inadequate functional vision with any of the following: (1) contact lenses, (2) spectacles, or (3) contact lenses and spectacles.
Laser in-situ keratomileusis (LASIK), laser epithelial keratomileusis (LASEK), photorefractive keratectomy (PRK), and photoastigmatic keratectomy (PARK or PRK-A) are consideredmedically necessarywhenallof the following are met:
Prior cataract, corneal, or scleral buckling surgery for retinal detachment has been performed on this eye;and