About this policy
Summary of Evidence
Analysis of Evidence
General Information
Associated Information
Sources of Information
Bibliography
Revision History Information
Associated Documents
Attachments
Related Local Coverage Documents
Related National Coverage Documents
Public Versions
Keywords
Local Coverage Determination (LCD)
Corneal Hysteresis
L38026
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Contractor Information
Contractor Name Contract Type Contract Number Jurisdiction States
LCD Information
Document Information
LCD ID
L38026
LCD Title
Corneal Hysteresis
Proposed LCD in Comment Period
N/A
Source Proposed LCD
DL38026
Original Effective Date
For services performed on or after 10/21/2019
Revision Effective Date
For services performed on or after 07/10/2025
Revision Ending Date
N/A
Retirement Date
N/A
Notice Period Start Date
09/05/2019
Notice Period End Date
10/20/2019
CPT codes, descriptions, and other data only are copyright 2025 American Medical Association. All Rights Reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not
Coverage indications
This is a NON-coverage policy for all corneal hysteresis (CH) assessments as a means of risk assessment or monitoring for progression of ophthalmic disease activity.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.