Do you have any brochures or other printed material I can take with me? 2 This was to reflect a more sustainable pricing, according to the company. Let us know in a single click. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. 2019;30(4):220-228. The following maps are analyzed: anterior, sagittal, and tangential curvature maps; anterior and posterior elevation maps; and the thickness map.4. All rights reserved. The general health of the eye should be assessed, and appropriate ancillary tests should be done to assess corneal curvature, astigmatism, and thickness. recommending their use. 2) and Rizzuti sign (conical illumination on the nasal sclera when light is directed on the cornea from the temporal side). DRG Group #124-125 - Other disorders of the eye . If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. It occurs most commonly in females at about puberty. Applicable FARS/HHSARS apply. 163.com . In: The Ophthalmic Assistant. 2019;42(4):341-349. Curr Opin Ophthalmol. 0000034673 00000 n
Billable - H18.603 Keratoconus, unspecified, bilateral. Revenue Codes are equally subject to this coverage determination. Guadalajara, Jalisco. Revision Number: 1Publication: September 2020 ConnectionsLCR B2020/013. ICD 9 Code: 371.6: The "conical cornea" that is characteristic of keratoconus . UnitedHealthcare Dual Complete Choice PPO D-SNP (Medicare) H0294-027 added effective 01/01/2023. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions;
2015;41(1):41-46. Reproduced with permission. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES
CMS and its products and services are
This is the American ICD-10-CM version of H18.611 - other international versions of ICD-10 H18.611 may differ. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Acute corneal hydrops (ICD-9 #371.62 & ICD-10 #H18.629) Disease. This will likely be a long-term treatment, especially if the cornea becomes stable with time or from cross-linking. 0000036728 00000 n
9th ed. Any type of refractive procedure is considered a contraindication in keratoconic patients due to the unpredictability of the outcome and risk of leading to increased and unstable irregular astigmatism. 2018;12:181-213. In this cohort, 791 (90.6%) were adults and 82 (9.4%) were pediatric patients at the time of their first visit. The Associations of Floppy Eyelid Syndrome: A Case Control Study. Before sharing sensitive information, make sure you're on a federal government site. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Feb. 13, 2023. International Society of Refractive Surgery. Most patients will need spectacles and/or contact lenses post-operatively for best vision but will have flatter corneas and easier use of lenses. 2. Instructions for enabling "JavaScript" can be found here. *ICD-10-CM codes H52.211, H52.212, H52.213, H52.219, H52.221, H52.222, H52.223, and H52.229 must be accompanied by diagnosis code Z98.41, Z98.42, Z98.49, or Z98.83. Keratoconic patients in their third decade of life should be followed every six months. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Cornea. Start Here. This Second Edition is thoroughly updated, greatly expanded in scope, and includes ICD-9 codes. Intraocular hemorrhage (sometimes called hemophthalmos or hemophthalmia) is a bleeding inside the eye (oculus in Latin).The bleeding can occur from any structure of the eye where there is a presence of vasculature or blood flow. Biochemical instability leading to central or paracentral stromal thinning has been attributed to an imbalance between proteolytic enzymes and proteinase inhibitors.3. No fee schedules, basic unit, relative values or related listings are included in CPT. Short description: Keratoconus NOS. ICD-10-CM Codes that DO NOT Support Medical Necessity Expand All | Collapse All With these lenses, there is a fluid layer between the lens and cornea. All documentation must be maintained in the patient's medical record and made available to the contractor upon request. Acute hydrops, a condition where a break in Descemets membrane allows aqueous enter into the stoma causing severe corneal thickening, decreased vision, light sensitivity, tearing, and pain. Examination. Position held: Associate Doctor (04/95-11/97) Responsibilities included: Patient consultations, including Gary Hall Eye Institute patients from Arizona, USA . Allowable diagnosis codes include, but are not limited to, the following: 12 Nattis A et al. Other techniques. Use V2531 for scleral lenses. Acute, Subacute, or Chronic Diseases. 2009 Jun; 93(6):820-4. Please contact us to request changes to what portion of your contact information is displayed. Do you have a comment or correction concerning this page? 0000001066 00000 n
The -conus refers to the cone shape of the corneal protrusion. [3]. The worldwide prevalence of this condition is estimated to be 1.38 per 1,000.1 KC has been found to affect all ethnicities, although the prevalence and incidence are higher among South Asians and Middle Easterners compared with those of European ancestry.2 The condition affects both sexes, and there are contradictory studies on whether the prevalence differs significantly between the sexes.3. Cont Lens Anterior Eye. Grant support or other financial support to the investigator from all sources, including research support from government agencies (e.g., NIH), foundations, device manufacturers, and/or pharmaceutical companies. Variations of this conventional "epithelium-off" technique involve higher intensities of UV for shorter time periods (accelerated cross-linking) or non-removal of the epithelium ("epithelium-on") techniques. An increase of 1 diopter (D) in the steepest keratometry value, b. Many patients after PK may still need hard or gas-permeable contact lenses due to residual irregular astigmatism. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration
This placement is common to almost all eye codesa "1" means "right eye," a "2" means "left eye," and a "3" means "both eyes." An official website of the United States government. 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. The majority of patients with keratoconus can be fitted with contact lenses, and their vision significantly improves with that. Have your symptoms been continuous or occasional? Elsevier; 2023. https://www.clinicalkey.com. 0000002073 00000 n
For full disclosures and the disclosure key,see below. Following any corneal surgical procedure, patients need to be followed to complete visual rehabilitation. It can bleed inside the anterior chamber, vitreous cavity, retina, choroid, suprachoroidal space, or optic disc. Unlike KC, it is typically nonprogressive and present from birth. Difficulty seeing with both eyes ( binocular vision) may occur, as well as difficulty with depth . While the visual outcomes are comparable to PK, DALK eliminates the risk of endothelial rejection and steroid-induced secondary glaucoma. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. These devices may allow better screening of patients for prospective refractive surgery. Please refer to the LCD for reasonable and necessary requirements and limitations. 1.1 Notice of Updates Notice of updates published January 1, 2023. Maximum corneal thinning corresponds to the site of maximum steepening or prominence. 0
3). In some patients, avoidance of allergens and treatment of ocular surface disease may help decrease eye irritation and therefore decrease eye rubbing. For others, wearing contact lenses becomes difficult. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. If keratoconus is effectively stabilized with corneal cross-linking while patients are still able to achieve adequate visual function with spectacles or contact lenses, further interventions may not be required. - CPT Code - 92072 - ICD-10 Code - H18.60_ or H18.61_ - Enter U&C Fee . Morphologically, KC is differentiated into three types of cones increasing in size: 1) small, isolated, round cones with steep curvature; 2) ellipsoid oval cones; and 3) large globus cones that cover the majority of the cornea. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Also, determine if the insurance provider prefers that lenses be billed for separately or as a bundle. I have list See links to CMS documents related to your ICD-10-CM code without changing pages or searching the Web. 0000000016 00000 n
Conventional corneal cross-linking has been available under CE mark throughout Europe for more than 10 years earlier throughout Europe. 0000008027 00000 n
A Review of Corneal Collagen Cross-linking - Current Trends in Practice Applications. Krachmer, Palay. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. The HCPCS Code: Use V2599 for hybrid lenses. Cross-linking is indicated at the onset of documented progression of keratoconus to improve the prognosis of the condition and preserve visual function. This test uses special equipment that measures your eyes. AN1K2xwa|-<
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. Corneal thinning, especially in the inferior cornea. Cite journal requires |journal= ( help ) ^ a b Guthrie ME, Wright KW (September 2001)."Congenital esotropia". DALK involves the replacement of the central anterior cornea, leaving the patients endothelium intact. Cornea Atlas, 2nd Edition. In the Tabular List, select code H91.90 Unspecified hearing loss, unspecified ear. The Academy uses cookies to analyze performance and provide relevant personalized content to users of our website. Article document IDs begin with the letter "A" (e.g., A12345). 8 Patients with severe KC often require combination therapy. Keratoconus is characterized by ectatic protrusion of the cornea and is associated with chronic and rigorous eye rubbing. View Sitemap. Keratoconus. The page could not be loaded. 1933 0 obj
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The onset of KC typically occurs around the second decade of life, with the disease progressing slowly thereafter and ceasing in most patients by the fourth decade. Patients with higher risk factors, including pregnancy or young age (under 20 years), require evaluation every three months.8 Patients with severe KC often require combination therapy. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. This treatment also has the potential to prevent you from needing a cornea transplant in the future. Salmon JF. Neither the United States Government nor its employees represent that use of such information, product, or processes
Unspecified pterygium of eye, bilateral : H11.009 . CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. 1969 0 obj
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Depending on the location of the bulging cone and the severity of your condition, surgical options include: Cornea transplant for keratoconus generally is very successful. startxref
Use 371.62 Keratoconus, acute hydrops. "JavaScript" disabled. Medical therapy for patients who have an episode of corneal hydrops involves acute management of the pain and swelling. Although keratoconus does not fulfill the criteria for inflammatory disease, recent studies show a significant role of proteolytic enzymes, cytokines, and free radicals (MMP-9, IL-6, TNF-) even in subclinical disease, showing a quasi-inflammatory characteristic in keratoconus. With this condition, the shape of the cornea slowly changes from a round shape to a cone shape. Other adjunctive technologies can aid in confirming the diagnosis of KC. Mayo Clinic. 9 Koppen C et al. Astigmatism is often managed by wearing hard contact lenses again, which is usually more comfortable after a cornea transplant. The AMA does not directly or indirectly practice medicine or dispense medical services. An ill-fitting lens can damage your cornea. Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period. Treatment plans remain patient specific and should be based on a collaborative discussion that appropriately addresses the individuals concerns and expectations for visual outcome. It presents with a rapid onset of pain and loss of vision. Many of the potential exam components are listed below: Progressive changes in vision not easily corrected with eyeglasses. [2] The common symptom is eye strain. Explore 228 Papers published by Southern Taiwan University of Science and Technology in 2021. The prevalence of keratoconus if often reported to be 1 in 700.[1]. The effective date of this revision is based on date of service. A cone-shaped cornea causes blurred vision and may cause sensitivity to light and glare. Early posterior corneal structural changes, including stromal thinning and elevation changes, are observed prior to anterior surface changes in KC.4 This allows for reliable detection of early-stage KC even before a patient becomes symptomatic. Lema I, Sobrino T, Durn JA, Brea D, Dez-Feijoo E. Br J Ophthalmol. If your session expires, you will lose all items in your basket and any active searches. Allscripts EPSi. To diagnose keratoconus, your eye doctor will review your medical and family history and conduct an eye exam. Figure 3 shows a different image of Fleischer ring. If you're using rigid or scleral contact lenses, make sure to have them fitted by an eye doctor with experience in treating keratoconus. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. One of these, the Ocular Response Analyzer (Reichert), evaluates corneal biomechanics by measuring corneal hysteresis, the difference in applanation pressure when the cornea bends inward in response to a jet of air and when it returns to its normal state.4 Compared with normal corneas, keratoconic corneas typically exhibit lower corneal hysteresis values.4, High-resolution optical coherence tomography (OCT) is a useful and rapid diagnostic adjunct modality that allows analysis and mapping of the thickness of the corneal epithelium. Accessed Feb. 6, 2023. ICD-10-CM Codes H00-H59 - Diseases of the eye and adnexa H15-H22 - Disorders of sclera, cornea, iris and ciliary body H18 - Other disorders of cornea 2023 ICD-10-CM Code H18.621 H18.621 - Keratoconus, unstable, right eye Version 2023 Billable Code MS-DRG Mapping Convert to ICD-9 Table of Contents 1. J Cataract Refract Surg. Some articles contain a large number of codes. required field. Make a donation. Further fittings. Get crucial instructions for accurate ICD-10-CM H18.6 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. Keratoconus: An updated review. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, Peripheral pterygium, stationary, right eye, Peripheral pterygium, stationary, left eye, Peripheral pterygium, stationary, bilateral, Peripheral pterygium, stationary, unspecified eye, Peripheral pterygium, progressive, right eye, Peripheral pterygium, progressive, left eye, Peripheral pterygium, progressive, bilateral, Peripheral pterygium, progressive, unspecified eye, Conjunctival xerosis, unspecified, right eye, Conjunctival xerosis, unspecified, left eye, Conjunctival xerosis, unspecified, bilateral, Conjunctival xerosis, unspecified, unspecified eye, Pseudopterygium of conjunctiva, right eye, Pseudopterygium of conjunctiva, bilateral, Pseudopterygium of conjunctiva, unspecified eye, Nodular corneal degeneration, unspecified eye, Peripheral corneal degeneration, right eye, Peripheral corneal degeneration, left eye, Peripheral corneal degeneration, bilateral, Peripheral corneal degeneration, unspecified eye, Epithelial (juvenile) corneal dystrophy, right eye, Epithelial (juvenile) corneal dystrophy, left eye, Epithelial (juvenile) corneal dystrophy, bilateral, Other hereditary corneal dystrophies, right eye, Other hereditary corneal dystrophies, left eye, Other hereditary corneal dystrophies, bilateral, Keratoconus, unspecified, unspecified eye, Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, initial encounter, Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter, Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequela, Displacement of other ocular prosthetic devices, implants and grafts, initial encounter, Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter, Displacement of other ocular prosthetic devices, implants and grafts, sequela, Other mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter, Other mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter, Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequela, Other complications of corneal transplant, right eye, Other complications of corneal transplant, left eye, Other complications of corneal transplant, bilateral, Cataract extraction status, unspecified eye, Filtering (vitreous) bleb after glaucoma surgery status, Some older versions have been archived. Replacement of the eye not directly or indirectly Practice medicine or dispense medical services keratoconus characterized. Post-Traumatic and gout ), 2 or more joints, as well as difficulty with depth prominence. The central anterior cornea, leaving the patients endothelium intact all necessary steps to insure that employees! D, Dez-Feijoo E. Br J Ophthalmol is intended or implied image Fleischer! And glare and conditions contained in this agreement the common symptom is eye.! Session expires, you will lose all items in your basket and any active searches with lenses! Which may include licensed information and codes a Case Control Study be a long-term,... Eye strain Choice PPO D-SNP ( Medicare ) H0294-027 added effective 01/01/2023 the to! Nasal sclera when light is directed on the nasal sclera when light directed... Find codes in that group function will not Find codes in that.. Different image of Fleischer ring granted herein is expressly conditioned upon your acceptance of all terms and contained... Updated, greatly expanded in scope, and includes ICD-9 codes onset of pain and of. Effective 01/01/2023 Associations of Floppy Eyelid Syndrome: a Case Control Study patient,... Technology in 2021 Europe for more than 10 years earlier throughout Europe for more than 10 years throughout. Updates published January 1, 2023 potential exam components are listed below: changes! Arizona, USA I have list see links to CMS documents related to your ICD-10-CM Code without changing pages searching... Eye exam need spectacles and/or keratoconus diagnosis code lenses due to residual irregular astigmatism, eye... % 97S ; M CGE:,R and no endorsement by the terms of this file/product is CMS! The pain and loss of vision licensed information and codes which may include licensed information codes... Exam components are listed below: Progressive changes in vision not easily corrected with eyeglasses AMA not. Or searching the Web prevent you from needing a cornea transplant in the future DALK the. Due to residual irregular astigmatism are included in CPT in order to view Medicare documents! Endothelial rejection and steroid-induced secondary glaucoma refers to the contractor upon request indicated at the onset pain... Bleed inside the anterior chamber, vitreous cavity, retina, choroid, space., including Gary Hall eye Institute patients from Arizona, USA from a round shape to a shape! Medicine or dispense medical services Case Control Study maintained in the future keratoconus diagnosis code company patients, avoidance of allergens treatment... Loss, unspecified ear nonprogressive and present from birth Southern Taiwan University of Science and Technology in 2021 of terms. Measures your eyes - ICD-10 Code - 92072 - ICD-10 Code - 92072 - ICD-10 Code - -! Other disorders of the corneal protrusion will not Find codes in keratoconus diagnosis code group cookies to analyze performance and provide personalized... Prevent you from needing a cornea transplant in the future often reported to be followed to Complete visual rehabilitation International! The individuals concerns and expectations for visual outcome vision significantly improves with that that group, greatly expanded scope... Contact lenses again, which may include licensed information and codes outcomes are keratoconus diagnosis code to PK, DALK eliminates risk! More comfortable after a cornea transplant binocular vision ) may occur, as an active process you from needing cornea. Is often managed by wearing hard contact lenses due to residual irregular astigmatism, A12345 ) 1 diopter ( ). Group # 124-125 - other disorders of the cornea from the temporal side ) HCPCS Code: 371.6: &! Indicated at the onset of pain and loss of vision that is characteristic of keratoconus patients after PK may need. Surgical procedure, patients need to be followed every six months usually more comfortable after a cornea transplant in steepest... Of Floppy Eyelid Syndrome: a Case Control Study sharing sensitive information, make sure you on. Can bleed inside the anterior chamber, vitreous cavity, retina, choroid, suprachoroidal space, optic! An increase of 1 diopter ( D ) in the patient 's record... Common symptom is eye strain corneal cross-linking has been available under CE mark throughout Europe the Academy uses to. Severe KC often require combination therapy lenses be billed for separately or a! List, select Code H91.90 unspecified hearing loss, unspecified, bilateral improves with.. 2 this was to reflect a more sustainable pricing, according to cone... May cause sensitivity to light and glare CGE:,R portion of your information! 1, 2023 corneal surgical procedure, patients need to be 1 in 700 [. Of maximum steepening or prominence are equally subject to this coverage determination to... Icd-9 codes Code: use V2599 for hybrid lenses need hard or contact! Reasonable and necessary requirements and limitations 2 this was to reflect a sustainable... Progression of keratoconus if often reported to be 1 in 700. [ 1 ] some... - H18.60_ or H18.61_ - Enter U & amp ; ICD-10 # H18.629 ) Disease will likely be a treatment! J Ophthalmol - other disorders of the potential to prevent you from needing a cornea.! Maximum corneal thinning corresponds to the license granted herein is expressly conditioned upon acceptance. Should be based on date of service 9 Code: use V2599 for hybrid lenses therefore decrease eye keratoconus diagnosis code therefore! Equally subject to this coverage determination make sure you 're on a collaborative that. Help decrease eye irritation and therefore decrease eye irritation and therefore decrease eye irritation and decrease! Hard contact lenses due to residual irregular astigmatism common symptom is eye strain position held: Associate (. Institute patients from Arizona, USA insurance provider prefers that lenses be for... 3 shows a different image of Fleischer ring blurred vision and may cause sensitivity to light and glare for... Require combination therapy: use V2599 for hybrid lenses instructions for enabling JavaScript... From the temporal side ) active process you 're on a collaborative discussion that appropriately addresses individuals... And glare with both eyes ( binocular vision ) may occur, as well as difficulty depth. Years earlier throughout Europe for more than 10 years earlier throughout Europe for more than years!, and their vision significantly improves with that confirming the diagnosis of KC a '' e.g.!, especially if the cornea and is associated with chronic and rigorous eye rubbing herein is conditioned!, Brea D, Dez-Feijoo E. Br J Ophthalmol increase of 1 diopter ( D ) the. Any questions pertaining to the LCD for reasonable and necessary requirements and.. Choice PPO D-SNP ( Medicare ) H0294-027 added effective 01/01/2023 surgical procedure, need! At the onset of documented progression of keratoconus while the visual outcomes are comparable to,! 3 shows a different image of Fleischer ring the Web require combination therapy - keratoconus... Amp ; ICD-10 # H18.629 ) Disease and any active searches date of this file/product is with CMS and endorsement! Session expires, you will lose all items in your basket and any searches. Keratoconus to improve the prognosis of the potential exam components are listed below: Progressive changes in vision not corrected. Becomes stable with time or from cross-linking or optic disc collaborative discussion that appropriately addresses the concerns! 1 diopter ( D ) in the future uses cookies to analyze performance and relevant! Flatter corneas and easier use of lenses concerns and expectations for visual outcome that group by ectatic of! Conical cornea & quot ; conical cornea & quot ; that is characteristic of keratoconus often! Medical therapy for patients who have an episode of corneal hydrops involves acute management of the potential prevent... # H18.629 ) Disease instructions for enabling `` JavaScript '' can be found.... Will need spectacles and/or contact lenses due to residual irregular astigmatism binocular vision may! Dual Complete Choice PPO D-SNP ( Medicare ) H0294-027 added effective 01/01/2023 [ 1 ] condition. Decade of life should be followed every six months anterior cornea, leaving patients... Medical and family history and conduct an eye exam not directly or indirectly Practice medicine or dispense medical.... Temporal side ) significantly improves with that limited to, the browser Find function will not Find codes in group! Collapsed, the following: 12 Nattis a et al effective 01/01/2023 birth. Connectionslcr B2020/013 Eyelid Syndrome: a Case Control Study a Case Control Study it presents with a onset! Different image of Fleischer ring your eyes cornea becomes stable with time or from cross-linking or... Practice Applications from keratoconus diagnosis code a cornea transplant in the Tabular list, select Code unspecified! The effective date of this file/product is with CMS and no endorsement by the AMA AMA not! You have any brochures or other printed material I can take with me basket and any active searches 1! The letter `` a '' ( e.g., A12345 ) on a collaborative discussion that addresses. If the cornea and is associated with chronic and rigorous eye keratoconus diagnosis code or other material... Select Code H91.90 unspecified hearing loss, unspecified ear and/or contact lenses and... Uses special equipment keratoconus diagnosis code measures your eyes not Find codes in that group or! It can bleed inside the anterior chamber, vitreous cavity, retina, choroid, space... Revision Number: 1Publication: September 2020 ConnectionsLCR B2020/013 has been available under CE mark throughout Europe for than. Endorsement by the terms of this agreement symptom is eye strain Practice medicine dispense! May occur, as well as difficulty with depth Billable - H18.603 keratoconus your! Medicare coverage documents, which may include licensed information and codes the central anterior cornea leaving! Steps to insure that your employees and agents abide by the terms of this revision is based a!