Noncovered Services with Cataract Surgery

Topic: Noncovered Services with Cataract

Sponsor: Rayner

Updated: 11/11/2021

Rayner USA

This FAQ addresses the following:

  1. Does Medicare cover all items and services associated with cataract surgery?
  2. Some ophthalmologists offer blended vision or monovision to patients. Are there any noncovered charges for this?
  3. What other diagnostic tests are noncovered?
  4. Are there any noncovered charges for evaluation and treatment of astigmatism at the time of cataract surgery?
  5. Are there any noncovered services associated with conventional IOLs in an ambulatory surgery center (ASC)?
  6. When diagnostic tests are performed during the global surgery period, aren’t they bundled with the surgery?
  7. What about postcataract eyeglasses and a final refraction?
  8. Why doesn’t Medicare cover everything related to cataract surgery?
  9. What is the benefit to the patient of noncovered services?
  10. Some noncovered services are indispensable to the surgeon. Does the patient get to choose whether to have them?
  11. Must a Medicare beneficiary sign an ABN before receiving any noncovered items or services?