PhotoGenica V (Cynosure, Inc.) Prior Authorization Prior authorization is not required. Insurance Coverage. YAG laser treatment is painless and is completed from outside the eye in a few minutes. Medicare HMO BlueSM This is not a covered service. 5 Florida Blue Cross/Blue Shield says, “Laser vitreolysis is considered experimental or investigational … Ophthalmic YAG Lasers have been around for 20 years. A YAG laser capsulotomy is a type of laser eye surgery that uses a Yttrium-Aluminum Garnet (YAG) laser to improve a patient’s vision after cataract surgery. One, by Aetna, considers this treatment “experimental and investigational … because its effectiveness for these indications has not been established” and therefore not covered. 100-03, Medicare National Coverage, Chapter 1, Part 2, Section 140.5 Coverage Guidance Coverage Indications, Limitations, and/or Medical Necessity The neodymium:YAG (Nd:Yag) laser is used to create posterior capsulotomies for posterior capsule opacification. The costs listed above are intended without insurance. However, services with specific coverage criteria may be reviewed retrospectively to determine if criteria are being met. Those on high deductible health plans or without insurance can shop, compare prices … Most insurance plans will partly or mostly pay for the procedure with the appropriate documentation. Find Top … Nd:YAG laser posterior capsulotomy is not used to prevent clouding of the back lining of the lens capsule (posterior capsule opacification). There is an established Insurance CPT code associated with Laser Vitreolysis. J Dermatolog Treat. There is no way to know who will get clouding in the back of the eye after cataract surgery. Virtually every ophthalmologist has used the FDA-approved YAG laser to 4. Commercial Managed Care (HMO and POS) This is not a covered service. Yes. These may be covered by your vision insurance, but not your health insurance. Lumenis Ltd. family of lasers (e.g., Nd: YAG Laser Wavelength [1064 nm]; LightSheer Diode Laser Wavelength [800 nm]) 5. On MDsave, the cost of a YAG Laser Surgery ranges from $1,331 to $1,597. Feb 11 … ... YAG is considered medically necessary and covered by insurance when performed following cataract extraction. The YAG laser is the laser used to clear the frosting from the back surface of an intraocular lens. Certain lenses used in the surgery to remove the cataract may lower this risk and the need for laser surgery later. Treatments that are not likely to be covered by your insurance include: Laser-assisted cataract surgery (LACS). An Nd:YAG laser posterior capsulotomy was performed in 153 (3.07 %) of the 4,970 eyes. Some diagnostic tests. Mixed focus, accommodating monofocal, toric, and multifocal lenses. Commercial PPO and Indemnity This is not a covered service. During periodontal laser treatment, the periodontist addresses the pulsed Nd:YAG laser light within the pockets to kill bad bacteria. During YAG laser treatment your eye doctor may use a magnifying contact lens to help with aiming the YAG laser … ... the cost of the laser gum therapy because the coverage regards the disease not the method your dentist or periodontist will use. CMS Manual System, Pub. The mean follow-up time was 84 months for all of the IOL groups. ... Nd-YAG laser versus topical terbinafine in the treatment of onychomycosis.