Glaucoma Surgical Treatments
UnitedHealthcare medical policy CS050.V (effective 2024-10-01) governing coverage determinations for various glaucoma surgical procedures, devices (MIGS, drainage devices, goniotomy/trabeculotomy, canaloplasty, trabeculectomy) including pediatric indications, when performed alone or with cataract surgery; excludes certain state-specific applicability.
Replaced language clarifying that goniotomy or trabeculotomy for pediatric glaucoma (age 18 years or less) is proven and medically necessary.
Revised list of unproven and not medically necessary indications to include combined canaloplasty (ab interno) and trabeculotomy devices Streamline and OMNI.
Added language that the policy does not apply to Idaho and Kansas.
Removed HCPCS code C1889 from Applicable Codes.
Removed reference link to a Medicare Advantage Coverage Summary.
Updated Description of Services, Clinical Evidence, FDA, and References sections.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.