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.
| Title | Topic | Sponsor | Content Type | Updated |
|---|---|---|---|---|
| Reimbursement for Fundus Photography with OcuMet Beacon | Fundus Photography | OcuSciences | Complimentary | May 1, 2026 |
| Reimbursement for Dark Adaptation Testing | Dark Adaptation Testing | OpZira | Complimentary | March 12, 2026 |
| Reimbursement for Retinal Photobiomodulation Therapy | PBM | Alcon | Complimentary | February 2, 2026 |
| Medicare Reimbursement for Punctal Occlusion by Plug | Punctum Plugs | Oasis Medical | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Fundus Photography (SPECTRALIS®) | Fundus Photos | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Fluorescein and ICG Angiography (SPECTRALIS®) | Angiography | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Corneal Topography (ANTERION®) | Corneal Topography | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Wavefront Aberrometry (ANTERION®) | Wavefront Aberrometry | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Optical Coherence Biometry (ANTERION®) | Optical Coherence Biometry | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Corneal Pachymetry (ANTERION®) | Corneal Pachymetry | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for Corneal Tomography (ANTERION®) | Corneal Tomography | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for OCT of the Anterior Segment (ANTERION®) | OCT-AS ANTERION® | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for OCT of the Anterior Segment (SPECTRALIS®) | OCT-AS SPECTRALIS® | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Medicare Reimbursement for OCT of the Posterior Segment (SPECTRALIS®) | OCT-PS SPECTRALIS® | Heidelberg Engineering | Complimentary | April 1, 2025 |
| Reimbursement for Anterior Stromal Micropuncture | ASP | Plexitome™ | Complimentary | February 14, 2025 |
| Medicare Reimbursement for OCT Angiography | OCT Angiography | Heidelberg Engineering | Complimentary | January 27, 2025 |
| Medicare Reimbursement for OCT of the Posterior Segment | SCODI-P | ZEISS | Complimentary | January 1, 2025 |
| Medicare Reimbursement for OCT Angiography | Angiography | ZEISS | Complimentary | January 1, 2025 |
| Medicare Reimbursement for CUSTOMFLEX® ARTIFICIALIRIS | Artificial Iris | VEO Ophthalmics | Complimentary | December 1, 2024 |
| Complexity Add-On Code +G2211 | Code +G2211 | Corcoran Consulting Group | Complimentary | October 1, 2024 |
| Medicare Reimbursement for Visual Field Testing with OFA | Visual Fields | Konan Medical | Complimentary | September 26, 2024 |
| Reimbursement for FLACS | FLACS | Centricity Vision | Complimentary | August 14, 2024 |
| Noncovered Services with Cataract Surgery | Cataract Surgery | Centricity Vision | Complimentary | August 14, 2024 |
| Reimbursement for Advanced Technology IOLs | IOLs | Centricity Vision | Complimentary | August 14, 2024 |
| Medicare Reimbursement and ZEPTO® | ZEPTO® | Centricity Vision | Complimentary | August 14, 2024 |
| Medicare Reimbursement for Punctal Occlusion by Plug | Punctum Plugs | Oasis Medical | Complimentary | July 1, 2024 |
| Medicare Reimbursement for SCODI of the Posterior Segment (SPECTRALIS®) | SCODI-P | Heidelberg Engineering | Complimentary | June 18, 2024 |
| Medicare Reimbursement for SCODI of the Anterior Segment (SPECTRALIS®) | SCODI-A | Heidelberg Engineering | Complimentary | June 18, 2024 |
| Medicare Reimbursement for SCODI of the Anterior Segment (ANTERION®) | SCODI-A | Heidelberg Engineering | Complimentary | June 18, 2024 |
| Reimbursement of Tear-Based Point-of-Care Tests | T-POC Tests | Verséa Ophthalmics | Complimentary | June 6, 2024 |
| Medicare Reimbursement for enVista® Aspire IOLs | IOLs | Bausch + Lomb | Complimentary | June 6, 2024 |
| Medicare Reimbursement for Punctal Occlusion with Lacrifill | Punctum Plugs | Nordic Pharma | Complimentary | March 25, 2024 |
| Reimbursement for Glaukos’ Aqueous Drainage Devices | Aqueous Drainage Device | Glaukos | Complimentary | March 4, 2024 |
| Reimbursement for Hydrus® Microstent | Hydrus® Microstent | Corcoran Consulting Group | Complimentary | November 14, 2023 |
| Medicare Reimbursement for E-Swin Tearcheck | Tearcheck | e-Swin USA | Complimentary | August 9, 2023 |
| Medicare Reimbursement for Discarded Drugs | Modifier JW JZ | Corcoran Consulting Group | Premium | July 1, 2023 |
| Medicare Reimbursement for Fundus Photography with epiCam | Fundus Photos | epipole | Complimentary | March 28, 2023 |
| Medicare Reimbursement for Low Vision Rehabilitation | Low Vision Rehabilitation | Solutions in Low Vision | Complimentary | February 1, 2023 |
| Reimbursement for Extended Color Vision Testing | Color Vision Testing | Solutions in Low Vision | Complimentary | February 1, 2023 |
| Medicare Reimbursement for Intraoperative Visual Axis Identification | Cataract Surgery | Corcoran Consulting Group | Premium | January 31, 2023 |
| Surgical Correction of Corneal Astigmatism | SCOCA | Precision Lens | Complimentary | October 26, 2022 |
| Remote Physiologic Monitoring | Remote Monitoring | Corcoran Consulting Group | Premium | October 17, 2022 |
| Medicare Reimbursement for Baerveldt Glaucoma Implant | Aqueous Shunt | J & J MedTech | Complimentary | October 12, 2022 |
| Principal Care Management | Principal Care Management | Corcoran Consulting Group | Premium | September 1, 2022 |
| Reimbursement for PROKER® | Amniotic Membrane | BioTissue | Complimentary | August 8, 2022 |
| Reimbursement for AmnioGuard/UCGuard | Amniotic Membrane | BioTissue | Complimentary | August 8, 2022 |
| Reimbursement for Amniotic Membrane Transplantation | Amniotic Membrane | BioTissue | Complimentary | July 25, 2022 |
| Reimbursement Issues Related to Modifier 24 | Modifier 24 | Corcoran Consulting Group | Premium | May 26, 2022 |
| Medicare Reimbursement for Exam Prior to Second Cataract Surgery | Exam for Second Surgery | Corcoran Consulting Group | Premium | May 26, 2022 |
| Medicare Reimbursement for Complex Cataract Surgery | Complex Cataract | Corcoran Consulting Group | Premium | May 13, 2022 |
| Medicare Reimbursement for SCODI of the Posterior Segment | SCODI-P Maestro2 | Topcon Medical Systems | Complimentary | March 8, 2022 |
| Medicare Reimbursement for Visual Field Testing | Visual Fields | Corcoran Consulting Group | Premium | February 22, 2022 |
| Comparing Medical Exams with Routine Vision Exams | Vision vs. Medical Exams | Corcoran Consulting Group | Premium | February 22, 2022 |
| Uninsured and Indigent Patients | Uninsured Patients | Corcoran Consulting Group | Premium | February 22, 2022 |
| Medicare Reimbursement for Punctal Occlusion with Plug | Punctum Plugs | Corcoran Consulting Group | Premium | February 21, 2022 |
| Medicare Reimbursement for Corneal Topography | Corneal Topography | Topcon Medical Systems | Complimentary | February 1, 2022 |
| Medicare Reimbursement for Optical Coherence Biometry | Optical Coherence Biometry | Topcon Medical Systems | Complimentary | February 1, 2022 |
| Medicare Reimbursement for Hydrus Microstent | Aqueous Drainage Device | Ivantis | Complimentary | January 14, 2022 |
| Reimbursement for Canaloplasty | Canaloplasty | Nova Eye Medical | Complimentary | January 14, 2022 |
| Reimbursement for Micropulse Transscleral Cyclophotocoagulation | Laser Subthreshold | Iridex | Complimentary | January 14, 2022 |
| Medicare Reimbursement for OMNI® Surgical System | Canaloplasty | Sight Sciences | Complimentary | January 1, 2022 |
| Reimbursement of Therapeutic Bandage Contact Lenses | Bandage Contact Lenses | Corcoran Consulting Group | Premium | January 1, 2022 |
| Medicare Reimbursement for Mechanical Pupil Dilation with Malyugin Ring | Malyugin Ring | MicroSurgical Technology | Complimentary | January 1, 2022 |
| Reimbursement for Goniotomy or Trabeculotomy AB Interno | Goniotomy | MicroSurgical Technology | Complimentary | January 1, 2022 |
| Reimbursement for Quantitative Sensorimotor Examinations | Sensorimotor Exam | Corcoran Consulting Group | Premium | January 1, 2022 |
| Coping with an Overpayment | Refunding Overpayment | Corcoran Consulting Group | Premium | January 1, 2022 |
| Medicare and Refractions | Refractions | Corcoran Consulting Group | Premium | January 1, 2022 |
| Reimbursement Issues Related to Modifier 78 | Modifier 78 | Corcoran Consulting Group | Premium | January 1, 2022 |
| Reimbursement Issues Related to Modifiers 59, XE, XS, XP, and XU | Modifier 59 | Corcoran Consulting Group | Premium | January 1, 2022 |
| Reimbursement Issues Related to Modifier 58 | Modifier 58 | Corcoran Consulting Group | Premium | January 1, 2022 |
| Reimbursement Issues Related to Modifier 25 | Modifier 25 | Corcoran Consulting Group | Premium | January 1, 2022 |
| Eye Exam CPT Codes (CPT 920xx) | Eye Codes | Corcoran Consulting Group | Premium | January 1, 2022 |
| Medicare Reimbursement for Extended Ophthalmoscopy | Extended Ophthalmoscopy | Corcoran Consulting Group | Premium | January 1, 2022 |
| Co-Management of Cataract Surgery with Premium IOLs | Co-Management | Corcoran Consulting Group | Premium | January 1, 2022 |
| Noncovered Services with Cataract Surgery | Noncovered Services with Cataract | Rayner | Complimentary | November 11, 2021 |
| Medicare Rules for Intraoperative Optical Coherence Tomography | Intraoperative OCT | ZEISS | Complimentary | September 8, 2021 |
| Medicare Rules for Computer Assisted Cataract Surgery | Cataract Surgery | ZEISS | Complimentary | September 8, 2021 |
| Reimbursement for Lasering Vitreous Floaters | Laser Vitreous Floaters | Corcoran Consulting Group | Premium | September 3, 2021 |
| Medicare Reimbursement for the TECNIS Eyhance IOLs | IOLs | J & J MedTech | Complimentary | June 16, 2021 |
| Reimbursement for Ultrasonic Biomicroscopy | Ultrasonic Biomicroscopy | Ellex | Complimentary | April 23, 2021 |
| Medicare Reimbursement for Selective Laser Trabeculoplasty | Trabeculoplasty | Ellex | Complimentary | April 21, 2021 |
| Practice Considerations Related to QMB (Qualified Medicare Beneficiary) Status | QMB | Corcoran Consulting Group | Premium | April 6, 2021 |
| Reimbursement for DURYSTA | DURYSTA | Corcoran Consulting Group | Premium | March 12, 2021 |
| Reimbursement for Tests with the OCULUS Pentacam | OCULUS Pentacam | OCULUS | Complimentary | March 11, 2021 |
| Reimbursement for Tests with the OCULUS Keratograph 5M | OCULUS Keratograph 5M | OCULUS | Complimentary | March 11, 2021 |
| Medicare Reimbursement for Fundus Photography with the Clarus 500 | Fundus Photos | ZEISS | Complimentary | February 17, 2021 |
| Reimbursement for the M&S Melbourne Rapid Fields | Visual Fields | M&S Technologies | Complimentary | February 16, 2021 |
| Medicare Reimbursement for Visual Field Testing | Visual Fields | OCULUS | Complimentary | August 18, 2020 |
| Medicare Reimbursement for Optical Coherence Biometry | Optical Coherence Biometry | OCULUS | Complimentary | August 18, 2020 |
| Reimbursement for the Molteno3 Glaucoma Drainage Device | Aqueous Shunt | Nova Eye Medical | Complimentary | July 22, 2020 |
| Medicare Advance Beneficiary Notice of Noncoverage | ABN | Corcoran Consulting Group | Premium | July 13, 2020 |
| External Ocular Photography and AOS Anterior Software | External Photos | Sparca | Complimentary | May 26, 2020 |
| Medicare Reimbursement for History and Physical (H&P) | H&P | Corcoran Consulting Group | Premium | February 18, 2020 |
| Medicare Reimbursement for Florescein and Indocyanine-Green Angiography | Angiography | Corcoran Consulting Group | Premium | February 14, 2020 |
| Medicare Reimbursement for SCODI of the Posterior Segment | SCODI-P | Optovue | Complimentary | January 28, 2020 |
| Medicare Reimbursement for SCODI of the Anterior Segment | SCODI-A | Optovue | Complimentary | January 28, 2020 |
| iWellness Exam Prophylactic Testing | SCODI | Optovue | Complimentary | January 28, 2020 |
| Medicare Reimbursement for Fundus Photography with iCam | Fundus Photos | Optovue | Complimentary | January 28, 2020 |
| Medicare Reimbursement for YAG Laser Capsulotomy | YAG Capsulotomy | Corcoran Consulting Group | Premium | January 24, 2020 |
| Medicare Reimbursement for Surgery to Correct Anisometropia | Piggyback IOLs | Corcoran Consulting Group | Premium | January 24, 2020 |
| Medicare Reimbursement for Endothelial Cell Count | Endothelial Cell Count | Corcoran Consulting Group | Premium | January 24, 2020 |
| Medicare Reimbursement for Corneal Pachymetry | Corneal Pachymetry | Corcoran Consulting Group | Premium | January 24, 2020 |
| Reimbursement for Goniotomy or Trabeculotomy AB Interno | Goniotomy | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for External Photography | External Photos | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for SCODI of the Posterior Segment | SCODI-P | Corcoran Consulting Group | Premium | January 20, 2020 |
| Reimbursement for Gonioscopy | Gonioscopy | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for SCODI of the Anterior Segment | SCODI-A | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for Intravitreal Injections | Intravitreal Injections | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for Glaucoma Screening | Glaucoma Screening | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for Corneal Topography | Corneal Topography | Corcoran Consulting Group | Premium | January 20, 2020 |
| Medicare Reimbursement for Endoscopic Cyclophotocoagulation | Endoscopic Cyclophotocoagulation | Endo Optiks | Complimentary | January 1, 2020 |
| Reimbursement for Fundus Photography | Fundus Photos | Corcoran Consulting Group | Premium | January 1, 2020 |
| Medicare Reimbursement for Fluorescein and ICG Angiography | Angiography | ZEISS | Complimentary | August 3, 2019 |
| Medicare Reimbursement for Visual Field Testing | Visual Fields | ZEISS | Complimentary | May 29, 2019 |
| Medicare Reimbursement for Fundus Photography | Fundus Photos | ZEISS | Complimentary | May 29, 2019 |
| Medicare Reimbursement for Optical Coherence Biometry | Optical Coherence Biometry | ZEISS | Complimentary | May 13, 2019 |
| Reimbursement for Corneal Collagen Cross-Linking | Corneal Collagen Cross-Linking | Corcoran Consulting Group | Premium | April 23, 2019 |
| Reimbursement for DSEK/DSAEK | DSEK | Corcoran Consulting Group | Premium | April 16, 2019 |
| Medicare Reimbursement for SCODI of the Posterior Segment | SCODI-P | ZEISS | Complimentary | March 13, 2019 |
| Medicare Reimbursement for SCODI of the Anterior Segment | SCODI-A | ZEISS | Complimentary | March 13, 2019 |
| Reimbursement of Genetic Testing for Corneal Dystrophy | Genetic testing | Avellino | Complimentary | March 13, 2019 |
| Reimbursement for Fundus and Autofluoresence Photography | Fundus Photos | Canon | Complimentary | February 18, 2019 |
| Reimbursement for Fluorescein Angiography | Angiography | Canon | Complimentary | February 18, 2019 |
| Medicare Reimbursement for Optical Coherence Biometry | Optical Coherence Biometry | Corcoran Consulting Group | Premium | January 14, 2019 |
| Auditing Medical Records | Auditing | Corcoran Consulting Group | Premium | January 11, 2019 |
| Reimbursement for BlephEx™ | BlephEx™ | BlephEx™ | Complimentary | November 5, 2018 |
| Reimbursement for Wavefront Aberrometry | Wavefront Aberrometry | Topcon Medical Systems | Complimentary | July 10, 2018 |
| Medicare Reimbursement for External Ocular Photography | External Photos | Topcon Medical Systems | Complimentary | July 1, 2018 |
| Medicare Reimbursement for Endothelial Cell Count | Endothelial Cell Count | Topcon Medical Systems | Complimentary | July 1, 2018 |
| Reimbursement for Heterochromatic Flicker Photometry | Heterochromatic Flicker Photometry | ZeaVision | Complimentary | June 26, 2018 |
| Noncovered Services with Cataract Surgery | Noncovered Services with Cataract Surgery | Corcoran Consulting Group | Premium | June 18, 2018 |
| History of Present Illness (HPI) | HPI | Corcoran Consulting Group | Premium | May 22, 2018 |
| Medicare Reimbursement for Optical Coherence Biometry | Optical Coherence Biometry | Nidek | Complimentary | May 10, 2018 |
| Reimbursement for Laser Photocoagulation | Laser Photocoagulation | Nidek | Complimentary | May 10, 2018 |
| Medicare Reimbursement for Corneal Topography | Corneal Topography | Nidek | Complimentary | May 2, 2018 |
| Medicare Reimbursement for Fundus Photography | Fundus Photos | Topcon Medical Systems | Complimentary | May 1, 2018 |
| Medicare Policy on Screening Fundus Photography | Screening | Nidek | Complimentary | April 24, 2018 |
| Medicare Reimbursement for Nidek MP-1S and MP-3 Microperimeter | Microperimetry | Nidek | Complimentary | April 24, 2018 |
| Medicare Reimbursement for Fundus Photography | Fundus Photos | Nidek | Complimentary | April 24, 2018 |
| Medicare Reimbursement for External Photography | External Photos | Nidek | Complimentary | April 24, 2018 |
| Medicare Reimbursement for Endothelial Cell Count | Endothelial Cell Count | Nidek | Complimentary | April 24, 2018 |
| Medicare Secondary Payer | Medicare Secondary Payer | Corcoran Consulting Group | Premium | March 29, 2018 |
| Medicare Signature Guidelines | Signatures | Corcoran Consulting Group | Premium | February 15, 2018 |
| Reimbursement for Premium IOLs | Premium IOLs | Corcoran Consulting Group | Premium | February 15, 2018 |
| Medicare Reimbursement for IOLs used in Cataract Surgery | IOLs | Corcoran Consulting Group | Premium | February 15, 2018 |
| Reimbursement for Amniotic Tissue | Amniotic Membrane | Integra | Complimentary | January 1, 2018 |
| Targeted Probe and Educate (TPE) Reviews | TPE | Corcoran Consulting Group | Premium | November 30, 2017 |
| Skilled Nursing Facility Consolidated Billing | Skilled Nursing Facility | Corcoran Consulting Group | Premium | September 14, 2017 |
| Practice Management Considerations for Pseudophakic Monovision | Monovision | Corcoran Consulting Group | Premium | January 5, 2017 |
| Screening Testing with SCODI | SCODI | ZEISS | Complimentary | January 1, 2017 |
| Medicare Reimbursement for SCODI of the Posterior Segment (Swept Source OCT) | SCODI-P | Topcon Medical Systems | Complimentary | January 1, 2017 |
| Reimbursement for TECNIS Symfony® TORIC IOL | Presbyoptic TORIC IOL | Abbott Medical Optics | Complimentary | August 19, 2016 |
| Reimbursement for TECNIS Symfony® IOL | Presbyoptic IOL | Abbott Medical Optics | Complimentary | August 19, 2016 |
| Medicare Regulations for Single-Use Items in ASCs | Single Use Items | MicroSurgical Technology | Complimentary | January 1, 2014 |