BlueCross BlueShield of Tennessee Medical Policy Manual

Corneal Topography/Computer-Assisted Photokeratoscopy

DESCRIPTION

Computer assisted corneal topography (also called photokeratoscopy or videokeratography) provides a quantitative measure of corneal curvature. Measurement of corneal topography is being evaluated to aid the diagnosis and followup of corneal disorders such as keratoconus, difficult contact lens fits, and pre- and postoperative assessment of the cornea, most commonly after refractive surgery. Various techniques and instruments are available to measure corneal topography:

POLICY

IMPORTANT REMINDER

SOURCES

American Academy of Ophthalmology. (2012). Refractive errors & refractive surgery Preferred Practice Pattern. Retrieved September 16, 2015 from http://www.aao.org.

BlueCross BlueShield Association, Medical Policy Reference Manual. (3:2017). Corneal topography / Computer-assisted Corneal Topography / Photokeratoscopy (9.03.05). Retrieved June 5,2017 from BlueWeb. (6 articles and/or guidelines reviewed)

BlueCross BlueShield of Tennessee network physicians. June-July 2011.

First Coast Service Options, Inc. (2016, August) Local Coverage Determination (LCD): Computerized Corneal Topography (L33810) Retrieved June 5, 2017 from: https://www.cms.gov.

U. S. Food and Drug Administration (1999, March) Center for Devices and Radiologic Health. 510(k) Premarket Notification Database K984443 (Orbscan II™) Retrieved June 5, 2017 from www.fda.gov.

ORIGINAL EFFECTIVE DATE:  12/14/1998

MOST RECENT REVIEW DATE:  7/13/2017

ID_BT

Policies included in the Medical Policy Manual are not intended to certify coverage availability. They are medical determinations about a particular technology, service, drug, etc. While a policy or technology may be medically necessary, it could be excluded in a member's benefit plan. Please check with the appropriate claims department to determine if the service in question is a covered service under a particular benefit plan. Use of the Medical Policy Manual is not intended to replace independent medical judgment for treatment of individuals. The content on this Web site is not intended to be a substitute for professional medical advice in any way. Always seek the advice of your physician or other qualified health care provider if you have questions regarding a medical condition or treatment.

This document has been classified as public information.