Glaucoma is an eye disease caused by high pressure in the eye. It can develop
gradually without warning and often without symptoms. The best way for people
at high risk for glaucoma to protect themselves is to have regular eye exams.
HCPCS/CPT Codes
G0117 – Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
G0118 – Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
ICD-10-CM (ICD-9-CM) Codes
Z13.5 (V80.1)
Who Is Covered
Medicare beneficiaries who:
Have diabetes mellitus;
Have a family history of glaucoma;
Are African-Americans aged 50 and older; or
Are Hispanic-Americans aged 65 and older
Frequency
Annually for covered beneficiaries
Beneficiary Pays
Copayment/coinsurance applies
Deductible applies
You pay 20% of the Medicare-approved amount and the Part B Deductible applies.
In a Hospital outpatient setting, you also pay a Copayment
Frequently Asked Questions (FAQs)
Am I at high risk for glaucoma?
Your risk for glaucoma increases if any of these are true: