Does S0812 require prior authorization?

No, S0812 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for S0812?

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

Superficial corneal dystrophy (including granular, lattice and Reis-Bückler's dystrophy);
Epithelial membrane dystrophy;
Irregular corneal surfaces due to Salzmann's nodular degeneration or keratoconus nodule;
Corneal scars and opacities, including post-traumatic, post-infectious, postsurgical and secondary to pathology;
Recurrent corneal erosions when more conservative measures (e.g., lubricants, hypertonic saline, patching, bandage contact lenses, gentle debridement of severely aberrant epithelium) have failed to halt the erosions.
PTK is medically necessary for superficial corneal dystrophy (including granular, lattice, Reis-Bückler’s), epithelial membrane dystrophy, irregular corneal surfaces due to Salzmann’s nodular degeneration or keratoconus nodule, or corneal scars/ opacities (post-traumatic, post-infectious, postsurgical, or secondary to pathology).