4. Is the documentation for the procedure 90 days after the cataract surgery?
5. Is the documentation showing the procedure done less than 90 days after the cataract surgery?
Yes No
6. Does the documentation show medical necessity if the capsulotomy is performed more than once on the same time, or a separate episode of care, the rationale and indication are clear?
Yes No
There must be clear documentation in the medica record showing significant visual debility, preoperative uveitis, chronic glaucoma, diabetic mellitus or prolonged use of pilocarpine hydrochloride.
