Traditional MedicareCoverageMedium impact
Corneal Hysteresis
Medicare/CMS - LCD·Ophthalmology·Local Coverage Determination
Effective date
May 28, 2026
We identified it
Jun 17, 2026
Summary
A new Local Coverage Determination (LCD) for Corneal Hysteresis testing has been established by WPS Insurance Corporation, effective May 28, 2026. This policy will define Medicare coverage criteria and billing requirements for corneal hysteresis measurements, which assess corneal biomechanical properties.
Action Required
By May 28, 2026: Billing team must review the complete LCD L38211 policy text to identify specific CPT codes, coverage criteria, and documentation requirements for corneal hysteresis testing. Update billing protocols and ensure providers understand medical necessity requirements for Medicare claims.