Question - Does insurance cover YAG laser capsulotomy?

Answered by: Samuel Mitchell  |  Category: General  |  Last Updated: 23-06-2022  |  Views: 949  |  Total Questions: 13

A: As a medically necessary procedure, YAG capsulotomy is covered. Coverage criteria include reduced visual acuity (check your local carrier policy for specifics), and a complaint from the patient. At $1. 1 billion annually, cataract surgery with IOL tops Medicare payments for ambulatory surgery procedures; complex cataract surgery comes in at number five ($96 million); and YAG capsulotomy's $65 million cost puts the procedure at number 10, according to Becker's ASC Review. Posterior capsular opacification (PCO) is common after cataract surgery. Recurrence is very rare after a successful Yttrium aluminium-garnet (YAG) capsulotomy in adults. Following a YAG laser capsulotomy, you may resume normal activities immediately. You may experience some floaters afterward. These will likely resolve within a few weeks. Most people can expect their vision to improve within a day. After the treatment Your vision will gradually begin to return, usually in a series of colours, over a period of 5-10 minutes but will remain blurred for 4-6 hours until the dilating drops wear off, if they were used.

https://www.williamsoneyeinstitute.com/yag-laser-capsulotomy-sight-sore-eyes/

He or she will most likely recommend anti-inflammatory eyedrops after the surgery, but your vision should improve within a day of your YAG laser capsulotomy. You still should not drive or bike for the rest of the day, as the dilating drops might take a while to wear off and your vision might still be blurry.

https://www.optegra.com/eye-health-blog/laser-eye-surgery/can-you-have-laser-eye-surgery-twice/

However, due to the natural aging process of the eye the effects of this permanent procedure may change, and even reduce, over time. Which begs the question: is it possible to have laser eye surgery more than once? In short, the answer is yes, but it's not quite that simple.

https://www.newvisioneyecenter.com/cfiles/blogs/NVBlog_010119.cfm

The procedure helps to permanently improve vision by replacing the natural lens of the eye with an artificial lens that requires no upkeep or care as glasses do. A YAG laser procedure is a common necessity for patients that have undergone cataract surgery in order to tweak results for an optimal outcome.

https://www.guysandstthomas.nhs.uk/resources/patient-information/eye/having-a-Yag-laser-capsulotomy-

A Yag capsulotomy is a special laser treatment used to improve your vision after cataract surgery. It is a simple, commonly performed procedure which is very safe. During your cataract operation, the natural lens inside your eye that had become cloudy was removed.

https://www.uofmhealth.org/health-library/hw36757

Risks Detachment of the nerve layer at the back of the eye (retinal detachment). Swelling of the center of the retina (macular edema). Damage or displacement of the intraocular lens. Bleeding into the front of the eye. Swelling of the clear covering of the eye (corneal edema).

https://www.medicare.org/articles/does-medicare-cover-yag-laser-capsulotomy/

Medicare Coverage for YAG Laser Capsulotomy While benefits provided by Medicare insurance do not cover routine vision care, they do cover medically necessary procedures for qualifying conditions such as cataract surgery and treatment to help restore vision due to complications with cataracts.

https://www.cincinnatieye.com/conditions-treatments/treatments/posterior-capsular-opacification/

Symptoms of a Posterior Capsular Opacification A gradual decrease of vision. Vision that is blurry. Glare around lights. Sensitivity to sunlight. Halos around lights.

https://www.diagnosticeyecenter.com/2017/07/07/will-i-experience-floaters-after-my-yag-laser-capsulo

After YAG laser capsulotomy, it is not uncommon to experience more floaters than normal. During a YAG laser capsulotomy, the clouded capsule of the eye is broken up to allow light to pass through. Some of the increased floaters are due to small pieces of the capsule floating around in your eye.

https://www.uwhealth.org/health/topic/surgicaldetail/nd-yag-laser-posterior-capsulotomy-after-catara

Nd:YAG laser posterior capsulotomy is an outpatient procedure. The person may wait in the outpatient surgery area or the doctor's office for 1 to 2 hours after the procedure so that he or she can have the pressure in the eye (intraocular pressure) checked.

https://www.rnib.org.uk/eye-health/eye-conditions/cataracts

PCO occurs because cells remaining after cataract surgery grow over the back (posterior) of the capsule causing it to thicken and become slightly opaque (cloudy). This means that light is less able to travel through to the retina at the back of your eye.

https://www.ncbi.nlm.nih.gov/pubmed/9805684

CONCLUSION: Nd: YAG laser vitreolysis seems to be able to cause retinal detachment. Its use is therefore not recommended, particularly in patients at risk, especially since the efficacy of this treatment has not been proved.

https://www.wrighteye.com/yag.html

A: A YAG Laser Capsulotomy is a laser procedure where the eye(s) is dilated, giving the doctor a view of the protein buildup behind the implanted lens. The YAG laser clears protein film to restore vision.

https://www.reviewofophthalmology.com/article/medicare-enters-the-era-of-presbyopia-lenses

A: As a medically necessary procedure, YAG capsulotomy is covered. Coverage criteria include reduced visual acuity (check your local carrier policy for specifics), and a complaint from the patient.