CPT 1012T: Intraocular Minimally Invasive Outflow Procedure
CPT code 1012T identifies a minimally invasive intraocular procedure that creates one or more small openings from inside the eye in the sclera or trabecular meshwork, with optional injection of antifibrotic agents. This procedure addresses aqueous outflow to lower intraocular pressure and is increasingly relevant as glaucoma management expands toward microinvasive surgical options. Nationally, the code matters because it defines how payers and providers classify and bill for evolving glaucoma interventions that sit between topical/interventional therapy and traditional filtration surgery.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and service setting, plus benchmarks and policy-relevant material where available. The publication highlights what to expect in coverage patterns, coding contexts, and clinical documentation needs tied to device-based intraocular outflow procedures.
The report outlines: (1) the clinical procedure and typical sites of service; (2) how the code fits into procedural coding frameworks and billing workflows; and (3) areas where payers commonly focus prior authorization and coverage criteria. Data not provided in the input are noted as unavailable.
Customize your policy alerts
Sign up for cpt 1012T policy alerts
Get alerted when payer policies referencing 1012T are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 1012T describes a surgical procedure in which the provider uses a motorized device to create one or more small openings from inside the eye in either the sclera or the trabecular meshwork. The technique may include the injection of antifibrotic agents to reduce scar formation.
Service type: Minimally invasive intraocular outflow procedure
Typical site of service: Operating room or ambulatory surgery center, with potential performance in hospital outpatient departments depending on facility capabilities and clinical complexity.