Map which Chapter 8 bases apply, then show the need is daily and can be met only in a SNF (the practical-matter test). This is what a coverage reviewer looks for on a Part A day.
Covered skilled procedure
Post-operative eye care and the administration of an ophthalmic medication regimen per order are skilled services under Chapter 8 when required, as is enforcement of a surgeon-ordered positioning protocol.
Observation & assessment of an unstable condition
The early post-ophthalmic-surgery course and an acute vision change carry a reasonable potential for a sight-threatening complication; detecting it requires nursing judgment.
