LCD Reference Article Response To Comments Article

Response to Comments: Implantable Miniature Telescope (IMT)

A55261

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Source Article ID
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Article ID
A55261
Original ICD-9 Article ID
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Article Title
Response to Comments: Implantable Miniature Telescope (IMT)
Article Type
Response to Comments
Original Effective Date
11/01/2016
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As an important part of Medicare Local Coverage Determination (LCD) development, National Government Services solicits comments from the provider community and from members of the public who may be affected by or interested in our LCDs. The purpose of the advice and comment process is to gain the expertise and experience of those commenting.

We would like to thank those who suggested changes to the LCD for Implantable Miniature Telescope (IMT). The official notice period for the final LCD begins on September 16, 2016 and the final determination will become effective on November 1, 2016.

Response To Comments

Number Comment Response
1 For the LCD on the Implantable Miniature Telescope, on page 3 of 7 on the Abstract, there are two bulleted items that need further modification. One lists the device is contraindicated in the presence of corneal guttae, which is a condition that lowers the patients endothelial cell count. The item listed after that lists the endothelial cell count needed for each age group. This is much more specific then mentioning corneal guttae, and we believe the less specific item on guttae should be eliminated NGS disagrees with the suggestion. Presence of guttae is a contraindication, even if the endothelial cell count is fine. The cornea may be more likely to decompensate if there are guttae, a sign of Fuchs dystrophy.
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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
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Updated On Effective Dates Status
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