Question: Texas Subscriber Answer: Conductive keratoplasty (CK) is a three-minute procedure that reshapes the cornea to increase focusing power by applying radio frequency (RF) energy via a very thin keratoplast tip. Its major use is to correct hyperopia, or farsightedness, in people over the age of 40. It uses no laser, so the surgeon does not remove tissue, operate over the line of sight, or use any blades. The procedure involves applying a topical anesthetic and placing a lid speculum, which is attached to the CK device and serves to ground the energy. The surgeon then marks the eye treatment spots in a ring pattern; this pattern lasts throughout the treatment. The surgeon places the keratoplast tip directly on the spots and releases energy directly into the corneal tissue. As the tip penetrates the cornea to a depth of 450 microns, the periphery of the cornea is drawn up and the central part is steepened. This collagen shrinkage changes the eye curvature. In some patients, the eye may fail to retain its new shape, thus losing some of the improvements made by the procedure. In April 2002, the FDA approved CK to treat low-tomoderate hyperopia 367.0 ( Although CK is used strictly as a refractive procedure and is not reimbursed by Medicare and most non- Medicare payers, for particular non-Medicare patients some insurance companies may offer a discount. In these cases, bill the procedure as 66999 ( .