Ophthalmic Biometry for Intraocular Lens Power Calculation
J15 · Effective Oct 1, 2015
3 active Medicare policies list Z96.1, and 3 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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J15 · Effective Oct 1, 2015
National · Effective Jun 4, 2026
National · Effective Oct 1, 2020
3 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Z96.1 |
|---|---|---|
| Medically Necessary Optical Hardware | Not recorded | Covered |
| Policy | Effective | Status of Z96.1 |
|---|---|---|
| Refractive Surgery | Jan 6, 2026 | Covered |
| Policy | Effective | Status of Z96.1 |
|---|---|---|
| Intraocular Lens Implant | Sep 15, 2026 | Covered |