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Glaucoma Screening

 HCPCS/CPT Codes

  • G0117 – Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
  • G0118 – Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist

ICD-10 Codes

  • B73.02 Onchocerciasis with glaucoma
  • H26.231 Glaucomatous flecks (subcapsular), right eye
  • H26.232 Glaucomatous flecks (subcapsular), left eye
  • H26.233 Glaucomatous flecks (subcapsular), bilateral
  • H26.239 Glaucomatous flecks (subcapsular), unspecified eye
  • H40.001 Preglaucoma, unspecified, right eye
  • H40.002 Preglaucoma, unspecified, left eye
  • H40.003 Preglaucoma, unspecified, bilateral
  • H40.009 Preglaucoma, unspecified, unspecified eye
  • H40.061 Primary angle closure without glaucoma damage, right eye
  • H40.062 Primary angle closure without glaucoma damage, left eye
  • H40.063 Primary angle closure without glaucoma damage, bilateral
  • H40.069 Primary angle closure without glaucoma damage, unspecified eye
  • H40.10X0 Unspecified open-angle glaucoma, stage unspecified
  • H40.10X1 Unspecified open-angle glaucoma, mild stage
  • H40.10X2 Unspecified open-angle glaucoma, moderate stage
  • H40.10X3 Unspecified open-angle glaucoma, severe stage
  • H40.10X4 Unspecified open-angle glaucoma, indeterminate stage
  • H40.1110 Primary open-angle glaucoma, right eye, stage unspecified
  • H40.1111 Primary open-angle glaucoma, right eye, mild stage
  • H40.1112 Primary open-angle glaucoma, right eye, moderate stage
  • H40.1113 Primary open-angle glaucoma, right eye, severe stage
  • H40.1114 Primary open-angle glaucoma, right eye, indeterminate stage
  • H40.1120 Primary open-angle glaucoma, left eye, stage unspecified
  • H40.1121 Primary open-angle glaucoma, left eye, mild stage
  • H40.1122 Primary open-angle glaucoma, left eye, moderate stage
  • H40.1123 Primary open-angle glaucoma, left eye, severe stage
  • H40.1124 Primary open-angle glaucoma, left eye, indeterminate stage
  • H40.1130 Primary open-angle glaucoma, bilateral, stage unspecified
  • H40.1131 Primary open-angle glaucoma, bilateral, mild stage
  • H40.1132 Primary open-angle glaucoma, bilateral, moderate stage
  • H40.1133 Primary open-angle glaucoma, bilateral, severe stage
  • H40.1134 Primary open-angle glaucoma, bilateral, indeterminate stage
  • H40.1190 Primary open-angle glaucoma, unspecified eye, stage unspecified
  • H40.1191 Primary open-angle glaucoma, unspecified eye, mild stage
  • H40.1192 Primary open-angle glaucoma, unspecified eye, moderate stage
  • H40.1193 Primary open-angle glaucoma, unspecified eye, severe stage
  • H40.1194 Primary open-angle glaucoma, unspecified eye, indeterminate stage
  • H40.1210 Low-tension glaucoma, right eye, stage unspecified
  • H40.1211 Low-tension glaucoma, right eye, mild stage
  • H40.1212 Low-tension glaucoma, right eye, moderate stage
  • H40.1213 Low-tension glaucoma, right eye, severe stage
  • H40.1214 Low-tension glaucoma, right eye, indeterminate stage
  • H40.1220 Low-tension glaucoma, left eye, stage unspecified
  • H40.1221 Low-tension glaucoma, left eye, mild stage
  • H40.1222 Low-tension glaucoma, left eye, moderate stage
  • H40.1223 Low-tension glaucoma, left eye, severe stage
  • H40.1224 Low-tension glaucoma, left eye, indeterminate stage
  • H40.1230 Low-tension glaucoma, bilateral, stage unspecified
  • H40.1231 Low-tension glaucoma, bilateral, mild stage
  • H40.1232 Low-tension glaucoma, bilateral, moderate stage
  • H40.1233 Low-tension glaucoma, bilateral, severe stage
  • H40.1234 Low-tension glaucoma, bilateral, indeterminate stage
  • H40.1290 Low-tension glaucoma, unspecified eye, stage unspecified
  • H40.1291 Low-tension glaucoma, unspecified eye, mild stage
  • H40.1292 Low-tension glaucoma, unspecified eye, moderate stage
  • H40.1293 Low-tension glaucoma, unspecified eye, severe stage
  • H40.1294 Low-tension glaucoma, unspecified eye, indeterminate stage
  • H40.1310 Pigmentary glaucoma, right eye, stage unspecified
  • H40.1311 Pigmentary glaucoma, right eye, mild stage
  • H40.1312 Pigmentary glaucoma, right eye, moderate stage
  • H40.1313 Pigmentary glaucoma, right eye, severe stage
  • H40.1314 Pigmentary glaucoma, right eye, indeterminate stage
  • H40.1320 Pigmentary glaucoma, left eye, stage unspecified
  • H40.1321 Pigmentary glaucoma, left eye, mild stage
  • H40.1322 Pigmentary glaucoma, left eye, moderate stage
  • H40.1323 Pigmentary glaucoma, left eye, severe stage
  • H40.1324 Pigmentary glaucoma, left eye, indeterminate stage
  • H40.1330 Pigmentary glaucoma, bilateral, stage unspecified
  • H40.1331 Pigmentary glaucoma, bilateral, mild stage
  • H40.1332 Pigmentary glaucoma, bilateral, moderate stage
  • H40.1333 Pigmentary glaucoma, bilateral, severe stage
  • H40.1334 Pigmentary glaucoma, bilateral, indeterminate stage
  • H40.1390 Pigmentary glaucoma, unspecified eye, stage unspecified
  • H40.1391 Pigmentary glaucoma, unspecified eye, mild stage
  • H40.1392 Pigmentary glaucoma, unspecified eye, moderate stage
  • H40.1393 Pigmentary glaucoma, unspecified eye, severe stage
  • H40.1394 Pigmentary glaucoma, unspecified eye, indeterminate stage
  • H40.1410 Capsular glaucoma with pseudoexfoliation of lens, right eye, stage unspecified
  • H40.1411 Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage
  • H40.1412 Capsular glaucoma with pseudoexfoliation of lens, right eye, moderate stage
  • H40.1413 Capsular glaucoma with pseudoexfoliation of lens, right eye, severe stage
  • H40.1414 Capsular glaucoma with pseudoexfoliation of lens, right eye, indeterminate stage
  • H40.1420 Capsular glaucoma with pseudoexfoliation of lens, left eye, stage unspecified
  • H40.1421 Capsular glaucoma with pseudoexfoliation of lens, left eye, mild stage
  • H40.1422 Capsular glaucoma with pseudoexfoliation of lens, left eye, moderate stage
  • H40.1423 Capsular glaucoma with pseudoexfoliation of lens, left eye, severe stage
  • H40.1424 Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage
  • H40.1430 Capsular glaucoma with pseudoexfoliation of lens, bilateral, stage unspecified
  • H40.1431 Capsular glaucoma with pseudoexfoliation of lens, bilateral, mild stage
  • H40.1432 Capsular glaucoma with pseudoexfoliation of lens, bilateral, moderate stage
  • H40.1433 Capsular glaucoma with pseudoexfoliation of lens, bilateral, severe stage
  • H40.1434 Capsular glaucoma with pseudoexfoliation of lens, bilateral, indeterminate stage
  • H40.1490 Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, stage unspecified
  • H40.1491 Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, mild stage
  • H40.1492 Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, moderate stage
  • H40.1493 Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, severe stage
  • H40.1494 Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, indeterminate stage
  • H40.151 Residual stage of open-angle glaucoma, right eye
  • H40.152 Residual stage of open-angle glaucoma, left eye
  • H40.153 Residual stage of open-angle glaucoma, bilateral
  • H40.159 Residual stage of open-angle glaucoma, unspecified eye
  • H40.20X0 Unspecified primary angle-closure glaucoma, stage unspecified
  • H40.20X1 Unspecified primary angle-closure glaucoma, mild stage
  • H40.20X2 Unspecified primary angle-closure glaucoma, moderate stage
  • H40.20X3 Unspecified primary angle-closure glaucoma, severe stage
  • H40.20X4 Unspecified primary angle-closure glaucoma, indeterminate stage
  • H40.211 Acute angle-closure glaucoma, right eye
  • H40.212 Acute angle-closure glaucoma, left eye
  • H40.213 Acute angle-closure glaucoma, bilateral
  • H40.219 Acute angle-closure glaucoma, unspecified eye
  • H40.2210 Chronic angle-closure glaucoma, right eye, stage unspecified
  • H40.2211 Chronic angle-closure glaucoma, right eye, mild stage
  • H40.2212 Chronic angle-closure glaucoma, right eye, moderate stage
  • H40.2213 Chronic angle-closure glaucoma, right eye, severe stage
  • H40.2214 Chronic angle-closure glaucoma, right eye, indeterminate stage
  • H40.2220 Chronic angle-closure glaucoma, left eye, stage unspecified
  • H40.2221 Chronic angle-closure glaucoma, left eye, mild stage
  • H40.2222 Chronic angle-closure glaucoma, left eye, moderate stage
  • H40.2223 Chronic angle-closure glaucoma, left eye, severe stage
  • H40.2224 Chronic angle-closure glaucoma, left eye, indeterminate stage
  • H40.2230 Chronic angle-closure glaucoma, bilateral, stage unspecified
  • H40.2231 Chronic angle-closure glaucoma, bilateral, mild stage
  • H40.2232 Chronic angle-closure glaucoma, bilateral, moderate stage
  • H40.2233 Chronic angle-closure glaucoma, bilateral, severe stage
  • H40.2234 Chronic angle-closure glaucoma, bilateral, indeterminate stage
  • H40.2290 Chronic angle-closure glaucoma, unspecified eye, stage unspecified
  • H40.2291 Chronic angle-closure glaucoma, unspecified eye, mild stage
  • H40.2292 Chronic angle-closure glaucoma, unspecified eye, moderate stage
  • H40.2293 Chronic angle-closure glaucoma, unspecified eye, severe stage
  • H40.2294 Chronic angle-closure glaucoma, unspecified eye, indeterminate stage
  • H40.231 Intermittent angle-closure glaucoma, right eye
  • H40.232 Intermittent angle-closure glaucoma, left eye
  • H40.233 Intermittent angle-closure glaucoma, bilateral
  • H40.239 Intermittent angle-closure glaucoma, unspecified eye
  • H40.241 Residual stage of angle-closure glaucoma, right eye
  • H40.242 Residual stage of angle-closure glaucoma, left eye
  • H40.243 Residual stage of angle-closure glaucoma, bilateral
  • H40.249 Residual stage of angle-closure glaucoma, unspecified eye
  • H40.30X0 Glaucoma secondary to eye trauma, unspecified eye, stage unspecified
  • H40.30X1 Glaucoma secondary to eye trauma, unspecified eye, mild stage
  • H40.30X2 Glaucoma secondary to eye trauma, unspecified eye, moderate stage
  • H40.30X3 Glaucoma secondary to eye trauma, unspecified eye, severe stage
  • H40.30X4 Glaucoma secondary to eye trauma, unspecified eye, indeterminate stage
  • H40.31X0 Glaucoma secondary to eye trauma, right eye, stage unspecified
  • H40.31X1 Glaucoma secondary to eye trauma, right eye, mild stage
  • H40.31X2 Glaucoma secondary to eye trauma, right eye, moderate stage
  • H40.31X3 Glaucoma secondary to eye trauma, right eye, severe stage
  • H40.31X4 Glaucoma secondary to eye trauma, right eye, indeterminate stage
  • H40.32X0 Glaucoma secondary to eye trauma, left eye, stage unspecified
  • H40.32X1 Glaucoma secondary to eye trauma, left eye, mild stage
  • H40.32X2 Glaucoma secondary to eye trauma, left eye, moderate stage
  • H40.32X3 Glaucoma secondary to eye trauma, left eye, severe stage
  • H40.32X4 Glaucoma secondary to eye trauma, left eye, indeterminate stage
  • H40.33X0 Glaucoma secondary to eye trauma, bilateral, stage unspecified
  • H40.33X1 Glaucoma secondary to eye trauma, bilateral, mild stage
  • H40.33X2 Glaucoma secondary to eye trauma, bilateral, moderate stage
  • H40.33X3 Glaucoma secondary to eye trauma, bilateral, severe stage
  • H40.33X4 Glaucoma secondary to eye trauma, bilateral, indeterminate stage
  • H40.40X0 Glaucoma secondary to eye inflammation, unspecified eye, stage unspecified
  • H40.40X1 Glaucoma secondary to eye inflammation, unspecified eye, mild stage
  • H40.40X2 Glaucoma secondary to eye inflammation, unspecified eye, moderate stage
  • H40.40X3 Glaucoma secondary to eye inflammation, unspecified eye, severe stage
  • H40.40X4 Glaucoma secondary to eye inflammation, unspecified eye, indeterminate stage
  • H40.41X0 Glaucoma secondary to eye inflammation, right eye, stage unspecified
  • H40.41X1 Glaucoma secondary to eye inflammation, right eye, mild stage
  • H40.41X2 Glaucoma secondary to eye inflammation, right eye, moderate stage
  • H40.41X3 Glaucoma secondary to eye inflammation, right eye, severe stage
  • H40.41X4 Glaucoma secondary to eye inflammation, right eye, indeterminate stage
  • H40.42X0 Glaucoma secondary to eye inflammation, left eye, stage unspecified
  • H40.42X1 Glaucoma secondary to eye inflammation, left eye, mild stage
  • H40.42X2 Glaucoma secondary to eye inflammation, left eye, moderate stage
  • H40.42X3 Glaucoma secondary to eye inflammation, left eye, severe stage
  • H40.42X4 Glaucoma secondary to eye inflammation, left eye, indeterminate stage
  • H40.43X0 Glaucoma secondary to eye inflammation, bilateral, stage unspecified
  • H40.43X1 Glaucoma secondary to eye inflammation, bilateral, mild stage
  • H40.43X2 Glaucoma secondary to eye inflammation, bilateral, moderate stage
  • H40.43X3 Glaucoma secondary to eye inflammation, bilateral, severe stage
  • H40.43X4 Glaucoma secondary to eye inflammation, bilateral, indeterminate stage
  • H40.50X0 Glaucoma secondary to other eye disorders, unspecified eye, stage unspecified
  • H40.50X1 Glaucoma secondary to other eye disorders, unspecified eye, mild stage
  • H40.50X2 Glaucoma secondary to other eye disorders, unspecified eye, moderate stage
  • H40.50X3 Glaucoma secondary to other eye disorders, unspecified eye, severe stage
  • H40.50X4 Glaucoma secondary to other eye disorders, unspecified eye, indeterminate stage
  • H40.51X0 Glaucoma secondary to other eye disorders, right eye, stage unspecified
  • H40.51X1 Glaucoma secondary to other eye disorders, right eye, mild stage
  • H40.51X2 Glaucoma secondary to other eye disorders, right eye, moderate stage
  • H40.51X3 Glaucoma secondary to other eye disorders, right eye, severe stage
  • H40.51X4 Glaucoma secondary to other eye disorders, right eye, indeterminate stage
  • H40.52X0 Glaucoma secondary to other eye disorders, left eye, stage unspecified
  • H40.52X1 Glaucoma secondary to other eye disorders, left eye, mild stage
  • H40.52X2 Glaucoma secondary to other eye disorders, left eye, moderate stage
  • H40.52X3 Glaucoma secondary to other eye disorders, left eye, severe stage
  • H40.52X4 Glaucoma secondary to other eye disorders, left eye, indeterminate stage
  • H40.53X0 Glaucoma secondary to other eye disorders, bilateral, stage unspecified
  • H40.53X1 Glaucoma secondary to other eye disorders, bilateral, mild stage
  • H40.53X2 Glaucoma secondary to other eye disorders, bilateral, moderate stage
  • H40.53X3 Glaucoma secondary to other eye disorders, bilateral, severe stage
  • H40.53X4 Glaucoma secondary to other eye disorders, bilateral, indeterminate stage
  • H40.60X0 Glaucoma secondary to drugs, unspecified eye, stage unspecified
  • H40.60X1 Glaucoma secondary to drugs, unspecified eye, mild stage
  • H40.60X2 Glaucoma secondary to drugs, unspecified eye, moderate stage
  • H40.60X3 Glaucoma secondary to drugs, unspecified eye, severe stage
  • H40.60X4 Glaucoma secondary to drugs, unspecified eye, indeterminate stage
  • H40.61X0 Glaucoma secondary to drugs, right eye, stage unspecified
  • H40.61X1 Glaucoma secondary to drugs, right eye, mild stage
  • H40.61X2 Glaucoma secondary to drugs, right eye, moderate stage
  • H40.61X3 Glaucoma secondary to drugs, right eye, severe stage
  • H40.61X4 Glaucoma secondary to drugs, right eye, indeterminate stage
  • H40.62X0 Glaucoma secondary to drugs, left eye, stage unspecified
  • H40.62X1 Glaucoma secondary to drugs, left eye, mild stage
  • H40.62X2 Glaucoma secondary to drugs, left eye, moderate stage
  • H40.62X3 Glaucoma secondary to drugs, left eye, severe stage
  • H40.62X4 Glaucoma secondary to drugs, left eye, indeterminate stage
  • H40.63X0 Glaucoma secondary to drugs, bilateral, stage unspecified
  • H40.63X1 Glaucoma secondary to drugs, bilateral, mild stage
  • H40.63X2 Glaucoma secondary to drugs, bilateral, moderate stage
  • H40.63X3 Glaucoma secondary to drugs, bilateral, severe stage
  • H40.63X4 Glaucoma secondary to drugs, bilateral, indeterminate stage
  • H40.811 Glaucoma with increased episcleral venous pressure, right eye
  • H40.812 Glaucoma with increased episcleral venous pressure, left eye
  • H40.813 Glaucoma with increased episcleral venous pressure, bilateral
  • H40.819 Glaucoma with increased episcleral venous pressure, unspecified eye
  • H40.821 Hypersecretion glaucoma, right eye
  • H40.822 Hypersecretion glaucoma, left eye
  • H40.823 Hypersecretion glaucoma, bilateral
  • H40.829 Hypersecretion glaucoma, unspecified eye
  • H40.89 Other specified glaucoma
  • H40.9 Unspecified glaucoma
  • H42 Glaucoma in diseases classified elsewhere
  • H44.511 Absolute glaucoma, right eye
  • H44.512 Absolute glaucoma, left eye
  • H44.513 Absolute glaucoma, bilateral
  • H44.519 Absolute glaucoma, unspecified eye
  • H47.231 Glaucomatous optic atrophy, right eye
  • H47.232 Glaucomatous optic atrophy, left eye
  • H47.233 Glaucomatous optic atrophy, bilateral
  • H47.239 Glaucomatous optic atrophy, unspecified eye
  • Q15.0 Congenital glaucoma
  • Z01.020 Encounter for examination of eyes and vision following failed vision screening without abnormal findings
  • Z01.021 Encounter for examination of eyes and vision following failed vision screening with abnormal findings
  • Z71.84 Encounter for health counseling related to travel
  • Z83.511 Family history of glaucoma
  • Z98.83 Filtering (vitreous) bleb after glaucoma surgery status

Who Is Covered

Medicare beneficiaries who fall into at least one of the following categories:

  • Have diabetes mellitus
  • Have a family history of glaucoma
  • Are African-Americans aged 50 and older
  • Are Hispanic-Americans aged 65 and older

Frequency

  • Annually for covered Medicare beneficiaries

Medicare Beneficiary Pays

  • Copayment/coinsurance applies
  • Deductible applies

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