Traditional MedicareCoverageMedium impact
Collagen Crosslinks, any Method
Medicare/CMS - NCD·Ophthalmology·National Coverage Determination
We identified it
Oct 2, 2026
Summary
This is a National Coverage Determination (NCD 190.19) for Collagen Crosslinks laboratory testing using any method. The policy establishes Medicare coverage guidelines for this laboratory test. As a 1-day-old policy, this represents fresh national guidance that may affect billing and coverage determinations for collagen crosslink testing across Medicare beneficiaries.
Action Required
Billing team must: (1) Review the complete policy text at https://www.cms.gov/medicare-coverage-database/data/ncd?ncdid=96&ncdver=1 to identify specific CPT/HCPCS codes for collagen crosslink testing methods; (2) Verify current billing codes used for collagen crosslink testing against this new NCD 190.19 guidance; (3) Update billing system rules and prior authorization requirements based on specific coverage criteria outlined in the full policy; (4) Communicate any coverage changes to providers and update order entry systems accordingly. Without access to the full policy text content, specific billing code changes and effective dates cannot be determined—obtain complete policy documentation immediately.