Integrating Blended Vision into a Practice – Review of Ophthalmology

Date: April 3, 2012

How to determine the best candidates for blended vision, and answers to related Medicare CPT code and billing questions.

This article answers the following questions:

  • What is blended vision?
  • Will the patient enjoy spectacle independence?
  • What are the characteristics of a good candidate for blended vision?
  • Are there patients who would not be good candidates for blended vision?
  • What is the best approach for the surgeon to determine if a patient is a suitable candidate for blended vision?
  • Are there tests performed to determine patient suitability?
  • Are there other tests that may be performed in addition to the refractive tests?
  • Are these tests covered by Medicare?
  • If these tests are non-covered, may patients be billed for them?
  • Should patients sign a waiver agreeing to the out-of-pocket expense?
  • Is there a CPT code for the preoperative refractive testing?
  • Am I compelled to file a claim to Medicare for the refractive tests?
  • How do I determine a reasonable charge for the non-covered services associated with blended vision?
  • Are these tests performed more than once?
  • If the patient also requires astigmatic correction and wants a claim filed for it, is there a CPT code for this component?

Published in: Review of Ophthalmology's Medicare Q & A column

Written by: Vice-President, Donna McCune, CCS-P, COE, CPMA

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