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Unless you write into your commercial contracts that the $2,500 or more that an eye bank will charge you for harvesting corneal tissue is in addition to the facility fee, corneal transplantation isn't feasible in the ASC setting. Medicare has a pass-through provision, but if you don't carve out implants such as transplants with your private payors, you're basically prevented from doing corneal transplants in a surgery center. As you'll see, the key to getting reimbursed for corneal tissue procurement, processing and distribution is HCPCS code V2785, which should be reimbursed as an add-on to your ASC facility fee.
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