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Reimbursement Success for Premium IOLs – Ophthalmology Management

Premium IOLs, including presbyopia-correcting IOLs (PC-IOLs) and astigmatism-correcting IOLs (ACIOLs), have increased in popularity over the past several years. There are reimbursement issues to consider.

This article answers the following questions:

  • What documentation is required when the patient elects implantation of a premium IOL?
  • What should we tell patients about out-of-pocket expenses for non-covered items and services?
  • What is the charge for the IOL?
  • How does the facility represent the lens charge on a claim form?
  • What about the surgeon?
  • Must we segregate the ASC charges from professional fees for a surgeon-owned ASC?

This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below:

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