Review for codes 0207T and 0563T

Services for CPT 0207T (Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral), and CPT 0563T (Evacuation of meibomian glands, automated, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral) as contractor priced codes, will now suspend for individual review of medical necessity.

Please note that code 0207T will not process with bilateral modifier -50. It will process with modifiers RT and LT.

Providers of these services may wish to have an ABN (advanced beneficiary notice) signed by patients before billing these services in case these services are not deemed medically necessary.

Posted 9/17/2021