Other Services HCPCS Code range M1146-M1425

Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented

Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)

Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)

Patients with a diagnosis of hypotony

Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks

Patients with a diagnosis of acute vitreous hemorrhage

Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter

Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)

Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam

Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks