Alcon Reimbursement Services (U.S. Only)
EX-PRESS® Glaucoma Filtration Device
The EX-PRESS® Glaucoma Filtration Device was initially cleared by U.S. Food and Drug Administration (FDA) on March 26, 2002, and is a miniature stainless-steel glaucoma shunt developed as an alternative to trabeculectomy filtration surgery for patients with glaucoma.
The American Medical Association (AMA) assigned the EX-PRESS® Glaucoma Filtration Device procedure to CPT® 0192T effective July 1, 2008.
The guidance documents and sample forms below are provided to assist you in the coding, billing, and reimbursement process.
Coding Fact Sheet and Sample Claim Forms
- Coding and reimbursement fact sheet (pdf format, 0.37MB)
- Sample claim form for physician (CMS-1500) (pdf format, 0.28MB)
- Sample claim form for ambulatory surgery centers (CMS-1500) (pdf format, 0.36MB)
- Sample claim form for hospital outpatient departments (UB-04) (pdf format, 0.31MB)
For additional reimbursement support, contact us.
Additional Resources
- Glaucoma Screening (Centers for Medicare & Medicaid Services)
