Dexamethasone Intracanalicular Ophthalmic Insert (Dextenza®)
JJ · Effective Feb 7, 2021
3 active Medicare policies list 65855, and 5 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JJ · Effective Feb 7, 2021
JM · Effective Feb 7, 2021
National · Effective Jan 1, 2025
5 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 65855 |
|---|---|---|
| Glaucoma Surgery | Mar 24, 2023 | Covered |
| Policy | Effective | Status of 65855 |
|---|---|---|
| Laser Trabeculoplasty and Laser Peripheral Iridotomy | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 65855 |
|---|---|---|
| Glaucoma Surgical Treatments | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 65855 |
|---|---|---|
| Glaucoma Surgical Treatments | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 65855 |
|---|---|---|
| Glaucoma Surgical Treatments | Sep 1, 2026 | Covered |