FAQs

Our Frequently Asked Questions (FAQs) cover a wide variety of reimbursement topics specific to ophthalmologists and optometrists. Each is a focused look at a specific reimbursement issue – visual field testing, extended ophthalmoscopy, ABNs, modifier rules, and many more.

Search for a topic or choose an FAQ from our library below.

TitleTopicSponsorContent TypeUpdated
Reimbursement of Tear-Based Point-of-Care TestsT-POC TestsVerséa OphthalmicsJune 6, 2024
Medicare Reimbursement for Punctal Occlusion with LacrifillPunctum PlugsNordic PharmaMarch 25, 2024
Reimbursement for Glaukos’ Aqueous Drainage DevicesAqueous Drainage DeviceGlaukosMarch 4, 2024
Medicare Reimbursement for Punctal Occlusion by PlugPunctum PlugsOasis MedicalFebruary 15, 2024
Reimbursement for Hydrus® MicrostentHydrus® MicrostentCorcoran Consulting GroupNovember 14, 2023
Medicare Reimbursement for E-Swin TearcheckTearchecke-Swin USAAugust 9, 2023
Medicare Reimbursement for Discarded DrugsModifier JW JZCorcoran Consulting GroupJuly 1, 2023
Medicare Reimbursement for Fundus Photography with epiCamFundus PhotosepipoleMarch 28, 2023
Medicare Reimbursement for Punctal Occlusion by Punctal PlugPunctum PlugsOASIS MedicalFebruary 3, 2023
Medicare Reimbursement for Low Vision RehabilitationLow Vision RehabilitationSolutions in Low VisionFebruary 1, 2023
Reimbursement for Extended Color Vision TestingColor Vision TestingSolutions in Low VisionFebruary 1, 2023
Medicare Reimbursement for Intraoperative Visual Axis IdentificationCataract SurgeryCorcoran Consulting GroupJanuary 31, 2023
Surgical Correction of Corneal AstigmatismSCOCAPrecision LensOctober 26, 2022
Remote Physiologic MonitoringRemote MonitoringCorcoran Consulting GroupOctober 17, 2022
Medicare Reimbursement for Baerveldt Glaucoma ImplantAqueous ShuntJ & J MedTechOctober 12, 2022
Principal Care ManagementPrincipal Care ManagementCorcoran Consulting GroupSeptember 1, 2022
Reimbursement for PROKER®Amniotic MembraneBioTissueAugust 8, 2022
Reimbursement for AmnioGuard/UCGuardAmniotic MembraneBioTissueAugust 8, 2022
Reimbursement for Amniotic Membrane TransplantationAmniotic MembraneBioTissueJuly 25, 2022
Reimbursement Issues Related to Modifier 24Modifier 24Corcoran Consulting GroupMay 26, 2022
Medicare Reimbursement for Exam Prior to Second Cataract SurgeryExam for Second SurgeryCorcoran Consulting GroupMay 26, 2022
Medicare Reimbursement for Complex Cataract SurgeryComplex CataractCorcoran Consulting GroupMay 13, 2022
Medicare Reimbursement for SCODI of the Posterior SegmentSCODI-P Maestro2Topcon Medical SystemsMarch 8, 2022
Medicare Reimbursement for Visual Field TestingVisual FieldsCorcoran Consulting GroupFebruary 22, 2022
Comparing Medical Exams with Routine Vision ExamsVision vs. Medical ExamsCorcoran Consulting GroupFebruary 22, 2022
Uninsured and Indigent PatientsUninsured PatientsCorcoran Consulting GroupFebruary 22, 2022
Medicare Reimbursement for Punctal Occlusion with PlugPunctum PlugsCorcoran Consulting GroupFebruary 21, 2022
Medicare Reimbursement for Corneal TopographyCorneal TopographyTopcon Medical SystemsFebruary 1, 2022
Medicare Reimbursement for Optical Coherence BiometryOptical Coherence BiometryTopcon Medical SystemsFebruary 1, 2022
Medicare Reimbursement for Hydrus MicrostentAqueous Drainage DeviceIvantisJanuary 14, 2022
Reimbursement for CanaloplastyCanaloplastyNova Eye MedicalJanuary 14, 2022
Medicare Reimbursement for CUSTOMFLEX® ARTIFICIALIRISArtificial IrisVeo OphthalmicsJanuary 14, 2022
Reimbursement for Micropulse Transscleral CyclophotocoagulationLaser SubthresholdIridexJanuary 14, 2022
Medicare Reimbursement for OMNI® Surgical SystemCanaloplastySight SciencesJanuary 1, 2022
Reimbursement of Therapeutic Bandage Contact LensesBandage Contact LensesCorcoran Consulting GroupJanuary 1, 2022
Medicare Reimbursement for Mechanical Pupil Dilation with Malyugin RingMalyugin RingMicroSurgical TechnologyJanuary 1, 2022
Reimbursement for Goniotomy or Trabeculotomy AB InternoGoniotomyMicroSurgical TechnologyJanuary 1, 2022
Reimbursement for Quantitative Sensorimotor ExaminationsSensorimotor ExamCorcoran Consulting GroupJanuary 1, 2022
Coping with an OverpaymentRefunding OverpaymentCorcoran Consulting GroupJanuary 1, 2022
Medicare and RefractionsRefractionsCorcoran Consulting GroupJanuary 1, 2022
Reimbursement Issues Related to Modifier 78Modifier 78Corcoran Consulting GroupJanuary 1, 2022
Reimbursement Issues Related to Modifiers 59, XE, XS, XP, and XUModifier 59Corcoran Consulting GroupJanuary 1, 2022
Reimbursement Issues Related to Modifier 58Modifier 58Corcoran Consulting GroupJanuary 1, 2022
Reimbursement Issues Related to Modifier 25Modifier 25Corcoran Consulting GroupJanuary 1, 2022
Eye Exam CPT Codes (CPT 920xx)Eye CodesCorcoran Consulting GroupJanuary 1, 2022
Medicare Reimbursement for Extended OphthalmoscopyExtended OphthalmoscopyCorcoran Consulting GroupJanuary 1, 2022
Co-Management of Cataract Surgery with Premium IOLsCo-ManagementCorcoran Consulting GroupJanuary 1, 2022
Noncovered Services with Cataract SurgeryNoncovered Services with CataractRaynerNovember 11, 2021
Medicare Rules for Intraoperative Optical Coherence TomographyIntraoperative OCTZEISSSeptember 8, 2021
Medicare Rules for Computer Assisted Cataract SurgeryCataract SurgeryZEISSSeptember 8, 2021
Reimbursement for Lasering Vitreous FloatersLaser Vitreous FloatersCorcoran Consulting GroupSeptember 3, 2021
Medicare Reimbursement for the TECNIS Eyhance IOLsIOLsJ & J MedTechJune 16, 2021
Reimbursement for Ultrasonic BiomicroscopyUltrasonic BiomicroscopyEllexApril 23, 2021
Medicare Reimbursement for Selective Laser TrabeculoplastyTrabeculoplastyEllexApril 21, 2021
Practice Considerations Related to QMB (Qualified Medicare Beneficiary) StatusQMBCorcoran Consulting GroupApril 6, 2021
Reimbursement for DURYSTADURYSTACorcoran Consulting GroupMarch 12, 2021
Reimbursement for Tests with the OCULUS PentacamOCULUS PentacamOCULUSMarch 11, 2021
Reimbursement for Tests with the OCULUS Keratograph 5MOCULUS Keratograph 5MOCULUSMarch 11, 2021
Medicare Reimbursement for Fundus Photography with the Clarus 500Fundus PhotosZEISSFebruary 17, 2021
Reimbursement for the M&S Melbourne Rapid FieldsVisual FieldsM&S TechnologiesFebruary 16, 2021
Reimbursement for Extended Color Vision TestingColor Vision TestingWaggoner DiagnosticsJanuary 28, 2021
Medicare Reimbursement for Visual Field TestingVisual FieldsOCULUSAugust 18, 2020
Medicare Reimbursement for Optical Coherence BiometryOptical Coherence BiometryOCULUSAugust 18, 2020
Reimbursement for the Molteno3 Glaucoma Drainage DeviceAqueous ShuntNova Eye MedicalJuly 22, 2020
Medicare Advance Beneficiary Notice of NoncoverageABNCorcoran Consulting GroupJuly 13, 2020
External Ocular Photography and AOS Anterior SoftwareExternal PhotosSparcaMay 26, 2020
Medicare Reimbursement for History and Physical (H&P)H&PCorcoran Consulting GroupFebruary 18, 2020
Medicare Reimbursement for Florescein and Indocyanine-Green AngiographyAngiographyCorcoran Consulting GroupFebruary 14, 2020
Medicare Reimbursement for SCODI of the Posterior SegmentSCODI-POptovueJanuary 28, 2020
Medicare Reimbursement for SCODI of the Anterior SegmentSCODI-AOptovueJanuary 28, 2020
iWellness Exam Prophylactic TestingSCODIOptovueJanuary 28, 2020
Medicare Reimbursement for Fundus Photography with iCamFundus PhotosOptovueJanuary 28, 2020
Medicare Reimbursement for YAG Laser CapsulotomyYAG CapsulotomyCorcoran Consulting GroupJanuary 24, 2020
Medicare Reimbursement for Surgery to Correct AnisometropiaPiggyback IOLsCorcoran Consulting GroupJanuary 24, 2020
Medicare Reimbursement for Endothelial Cell CountEndothelial Cell CountCorcoran Consulting GroupJanuary 24, 2020
Medicare Reimbursement for Corneal PachymetryCorneal PachymetryCorcoran Consulting GroupJanuary 24, 2020
Reimbursement for Goniotomy or Trabeculotomy AB InternoGoniotomyCorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for External PhotographyExternal PhotosCorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for SCODI of the Posterior SegmentSCODI-PCorcoran Consulting GroupJanuary 20, 2020
Reimbursement for GonioscopyGonioscopyCorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for SCODI of the Anterior SegmentSCODI-ACorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for Intravitreal InjectionsIntravitreal InjectionsCorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for Glaucoma ScreeningGlaucoma ScreeningCorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for Corneal TopographyCorneal TopographyCorcoran Consulting GroupJanuary 20, 2020
Medicare Reimbursement for Endoscopic CyclophotocoagulationEndoscopic CyclophotocoagulationEndo OptiksJanuary 1, 2020
Reimbursement for Fundus PhotographyFundus PhotosCorcoran Consulting GroupJanuary 1, 2020
Medicare Reimbursement for Fluorescein and ICG AngiographyAngiographyZEISSAugust 3, 2019
Medicare Reimbursement for Visual Field TestingVisual FieldsZEISSMay 29, 2019
Medicare Reimbursement for Fundus PhotographyFundus PhotosZEISSMay 29, 2019
Medicare Reimbursement for Optical Coherence BiometryOptical Coherence BiometryZEISSMay 13, 2019
Reimbursement for Corneal Collagen Cross-LinkingCorneal Collagen Cross-LinkingCorcoran Consulting GroupApril 23, 2019
Reimbursement for DSEK/DSAEKDSEKCorcoran Consulting GroupApril 16, 2019
Medicare Reimbursement for SCODI of the Posterior Segment SCODI-PZEISSMarch 13, 2019
Medicare Reimbursement for SCODI of the Anterior SegmentSCODI-AZEISSMarch 13, 2019
Reimbursement of Genetic Testing for Corneal DystrophyGenetic testingAvellinoMarch 13, 2019
Reimbursement for Fundus and Autofluoresence PhotographyFundus PhotosCanonFebruary 18, 2019
Reimbursement for Fluorescein AngiographyAngiographyCanonFebruary 18, 2019
Medicare Reimbursement for Optical Coherence BiometryOptical Coherence BiometryCorcoran Consulting GroupJanuary 14, 2019
Auditing Medical RecordsAuditingCorcoran Consulting GroupJanuary 11, 2019
Reimbursement for BlephEx™BlephEx™BlephEx™November 5, 2018
Reimbursement for Wavefront AberrometryWavefront AberrometryTopcon Medical SystemsJuly 10, 2018
Medicare Reimbursement for External Ocular PhotographyExternal PhotosTopcon Medical SystemsJuly 1, 2018
Medicare Reimbursement for Endothelial Cell CountEndothelial Cell CountTopcon Medical SystemsJuly 1, 2018
Reimbursement for Heterochromatic Flicker PhotometryHeterochromatic Flicker PhotometryZeaVisionJune 26, 2018
Noncovered Services with Cataract SurgeryNoncovered Services with Cataract SurgeryCorcoran Consulting GroupJune 18, 2018
History of Present Illness (HPI)HPICorcoran Consulting GroupMay 22, 2018
Medicare Reimbursement for Optical Coherence BiometryOptical Coherence BiometryNidekMay 10, 2018
Reimbursement for Laser PhotocoagulationLaser PhotocoagulationNidekMay 10, 2018
Medicare Reimbursement for Corneal TopographyCorneal TopographyNidekMay 2, 2018
Medicare Reimbursement for Fundus PhotographyFundus PhotosTopcon Medical SystemsMay 1, 2018
Medicare Policy on Screening Fundus PhotographyScreeningNidekApril 24, 2018
Medicare Reimbursement for Nidek MP-1S and MP-3 MicroperimeterMicroperimetryNidekApril 24, 2018
Medicare Reimbursement for Fundus PhotographyFundus PhotosNidekApril 24, 2018
Medicare Reimbursement for External PhotographyExternal PhotosNidekApril 24, 2018
Medicare Reimbursement for Endothelial Cell Count Endothelial Cell CountNidekApril 24, 2018
Medicare Secondary PayerMedicare Secondary PayerCorcoran Consulting GroupMarch 29, 2018
Medicare Reimbursement for SCODI of the Posterior SegmentSCODI-PHeidelberg EngineeringMarch 25, 2018
Medicare Reimbursement for SCODI of the Anterior SegmentSCODI-AHeidelberg EngineeringMarch 25, 2018
Reimbursement for Fundus PhotographyFundus PhotosHeidelberg EngineeringMarch 25, 2018
Medicare Reimbursement for Fluorescein and ICG AngiographAngiographyHeidelberg EngineeringMarch 25, 2018
Medicare Signature GuidelinesSignaturesCorcoran Consulting GroupFebruary 15, 2018
Reimbursement for Premium IOLsPremium IOLsCorcoran Consulting GroupFebruary 15, 2018
Medicare Reimbursement for IOLs used in Cataract SurgeryIOLsCorcoran Consulting GroupFebruary 15, 2018
Reimbursement for Amniotic TissueAmniotic MembraneIntegraJanuary 1, 2018
Targeted Probe and Educate (TPE) ReviewsTPECorcoran Consulting GroupNovember 30, 2017
Skilled Nursing Facility Consolidated BillingSkilled Nursing FacilityCorcoran Consulting GroupSeptember 14, 2017
Practice Management Considerations for Pseudophakic MonovisionMonovisionCorcoran Consulting GroupJanuary 5, 2017
Screening Testing with SCODISCODIZEISSJanuary 1, 2017
Medicare Reimbursement for SCODI of the Posterior Segment (Swept Source OCT) SCODI-PTopcon Medical SystemsJanuary 1, 2017
Reimbursement for TECNIS Symfony® TORIC IOLPresbyoptic TORIC IOLAbbott Medical OpticsAugust 19, 2016
Reimbursement for TECNIS Symfony® IOLPresbyoptic IOLAbbott Medical OpticsAugust 19, 2016
Medicare Regulations for Single-Use Items in ASCsSingle Use ItemsMicroSurgical TechnologyJanuary 1, 2014