TMPPM 2008 > Texas Medicaid Services > Vision Care (Optometrists, Opticians) > Benefits and Limitations

45.4.2.3 Corneal Topography

Corneal topography (1-92025), is a benefit of the Texas Medicaid Program.

An initial or established visit/consultation is payable on the same day as the topography. These visits remain subject to the global surgery fee guidelines.

Corneal topography is subject to global surgery fee guidelines.

If topography is performed within the global surgical pre- and post-care days of the following ophthalmic procedures, the topography is denied as part of.

Corneal topography is considered for reimbursement without prior authorization when submitted with any of the following diagnoses:

Services are payable to an FQHC based on an all-inclusive rate per visit.

Procedure code 1-92025 must be prior authorized when used for the fitting of contact lenses (diagnosis codes 36720, 36722 and 74341). Prior authorization criteria must be met for both topography and for contact lenses. Procedure code 1-92025 may only be billed once per eye, per day, by any provider.

Refer to: "Contact Lenses" for contact lens information.