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FAQs

Corcoran’s 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.

Topic Title Sponsor Date Updated
ABN Medicare Advance Beneficiary Notice of Noncoverage CCG 2019-04-17
Amniotic Membrane Reimbursement for AmnioGuard/UCGuard Bio-Tissue 2020-01-23
Amniotic Membrane Reimbursement for Amniotic Membrane Transplantation Bio-Tissue 2020-01-23
Amniotic Membrane Reimbursement for PROKERA Bio-Tissue 2020-01-11
Amniotic Membrane Reimbursement for Amniotic Tissue Integra 2018-01-04
Angiography Medicare Reimbursement for Fluorescein and ICG Angiography CCG 2018-02-16
Angiography Medicare Reimbursement for Fundus Angiography Canon 2019-02-18
Angiography Medicare Reimbursement for Fluorescein and ICG Angiography Optos 2020-02-14
Angiography Medicare Reimbursement for Fluorescein and ICG Angiography Heidelberg Engineering 2018-03-25
Angiography Medicare Reimbursement for Fluorescein and ICG Angiography ZEISS 2019-08-03
Angiography Medicare Reimbursement for Fluorescein and ICG Angiography CCG 2019-04-16
Artificial Iris Medicare Reimbursement for an Artificial Iris Veo Ophthalmics 2020-01-01
Auditing Auditing Medical Records CCG 2019-01-11
Bandage Contact Lenses Reimbursement of Therapeutic Bandage Contact Lenses CCG 2019-04-16
BlephEx Reimbursement for BlephEx™ Blephex 2018-11-05
Canaloplasty Reimbursement for Transluminal Canal Dilation CCG 2019-01-11
Canaloplasty Reimbursement for Canaloplasty Ellex 2020-01-01
Cataract Surgery Medicare Reimbursement for Intraoperative Visual Axis Identification CCG 2019-03-20
Cataract Surgery Medicare Rules for Computer Assisted Cataract Surgery ZEISS 2017-12-01
Color Vision Testing Reimbursement for Extended Color Vision Testing Solutions LV 2018-10-22
Co-management Co-Management of Cataract Surgery with Premium IOLs CCG 2019-01-11
Complex Cataract Medicare Reimbursement for Complex Cataract Surgery CCG 2020-01-15
Corneal Collagen Cross-Linking Reimbursement for Corneal Collagen Cross-Linking CCG 2019-04-23
Corneal Pachymetry Medicare Reimbursement for Corneal Pachymetry CCG 2019-01-15
Corneal Topography Medicare Reimbursement for Corneal Topography CCG 2019-01-14
Corneal Topography Medicare Reimbursement for Corneal Topographyr Nidek 2018-05-02
Corneal Topography Medicare Reimbursement for Corneal Topography Topcon Medical Systems 2017-01-01
Dextenza Reimbursement for Dextenza Ocular Therapeutix 2019-07-10
DSEK Reimbursement for DSEK/DSAEK CCG 2019-04-16
Endoscopic Cyclophotocoagulation Medicare Reimbursement for Endoscopic Cyclophotocoagulation Endo Optiks 2020-01-01
Endothelial Cell Count Medicare Reimbursement for Endothelial Cell Count CCG 2019-01-15
Endothelial Cell Count Medicare Reimbursement for Endothelial Cell Count Nidek 2018-04-24
Endothelial Cell Count Medicare Reimbursement for Endothelial Cell Count Topcon Medical Systems 2018-07-01
Exam for Second Surgery Medicare Reimbursement for Exam Prior to Second Cataract Surgery CCG 2019-04-17
Extended Ophthalmoscopy Medicare Reimbursement for Extended Ophthalmoscopy CCG 2020-01-24
External Photos Medicare Reimbursement for External Photography Nidek 2018-04-24
External Photos Medicare Reimbursement for External Ocular Photography Topcon Medical Systems 2018-07-01
External Photos Medicare Reimbursement for External Photography CCG 2018-05-21
Eye Codes Eye Exam CPT Codes (CPT 920xx) CCG 2019-04-17
Fundus Photos Reimbursement for Fundus Photography CCG 2019-04-16
Fundus Photos Medicare Reimbursement for Fundus Photography Canon 2019-02-18
Fundus Photos Medicare Reimbursement for Tests with CenterVue’s EIDON CenterVue 2019-03-07
Fundus Photos Medicare Reimbursement for Fundus Photography Nidek 2018-04-24
Fundus Photos Medicare Reimbursement for optomap plus Fundus Photography Optos 2020-02-11
Fundus Photos Medicare Reimbursement for Fundus Photography Topcon Medical Systems 2017-01-01
Fundus Photos Medicare Reimbursement for Fundus Photography with iCam Optovue 2020-01-28
Fundus Photos Reimbursement for Fundus Photography Heidelberg Engineering 2018-03-25
Fundus Photos Medicare Reimbursement for Fundus Photography ZEISS 2019-05-29
Fundus Photos Medicare Reimbursement for Fundus Photography with the Clarus 500 ZEISS 2019-04-16
Genetic Testing Reimbursement of Genetic Testing for Corneal Dystorphy Avellino 2019-03-13
Glaucoma Screening Medicare Reimbursement for Glaucoma Screening CCG 2019-01-15
Gonioscopy Reimbursement for Gonioscopy CCG 2019-01-15
Goniotomy Reimbursement for Goniotomy or Trabeculotomy ab Interno CCG 2017-01-08
H&P Medicare Reimbursement for History and Physical (H&P) CCG 2020-02-18
Heterochromatic Flicker Photometry Reimbursement for Heterochromatic Flicker Photometry ZeaVision 2018-06-26
HPI History of Present Illness (HPI) CCG 2018-05-22
Hydrus Microstent Medicare Reimbursement for the Hydrus Microstent Ivantis 2020-02-10
Intraoperative OCT Medicare Rules for Intraoperative Optical Coherence Tomography ZEISS 2017-12-01
Intravitreal Injections Medicare Reimbursement for Intravitreal Injections CCG 2019-04-16
IOLs Medicare Reimbursement for IOLs used in Cataract Surgery CCG 2019-01-11
iStent Medicare Reimbursement for iStent Trabecular Micro-Bypass Stent Glaukos 2019-04-09
iStent Medicare Reimbursement for iStent Inject Glaukos 2019-04-09
Laser Photocoagulation Reimbursement for Laser Photocoagulation Nidek 2018-05-10
Laser Photocoagulation Reimbursement for Posterior Segment Laser Photocoagulation Topcon Medical Systems 2018-07-10
Laser Vitreous Floaters Reimbursement for Lasering Vitreous Floaters CCG 2020-01-20
Laser Vitreous Floaters Reimbursement for Lasering Vitreous Floaters Ellex 2020-02-21
Low Vision Rehabilitation Medicare Reimbursement for Low Vision Rehabilitation Solutions LV 2018-09-05
Medicare Secondary Payer Medicare Secondary Payer CCG 2018-03-29
Microperimetry Medicare Reimbursement for Nidek MP-1S and MP-3 Microperimeter Nidek 2018-04-24
Modifier 24 Reimbursement Issues Related to Modifier 24 CCG 2019-04-21
Modifier 25 Reimbursement Issues Related to Modifier 25 CCG 2019-04-21
Modifier 58 Reimbursement Issues Related to Modifier 58 CCG 2019-04-21
Modifier 59 Reimbursement Issues Related to Modifier 59 CCG 2019-04-21
Modifier 78 Reimbursement Issues Related to Modifier 78 CCG 2019-04-21
Monovision Practice Management Considerations for Pseudophakic Monovision CCG 2017-01-05
Noncovered services with cataract Noncovered Services with Cataract Surgery CCG 2018-06-18
NuLids Medicare Reimbursement for NuLids NuSight Medical 2018-10-21
OCULUS Keratograph 5M Reimbursement for Tests with the OCULUS Keratograph 5M OCULUS 2016-05-02
OCULUS Pentacam Reimbursement for Tests with the OCULUS Pentacam OCULUS 2016-04-26
Omidria Reimbursement for Omidria® CCG 2019-11-11
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry CCG 2019-01-14
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry Nidek 2018-05-10
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry OCULUS 2016-05-02
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry Topcon Medical Systems 2018-07-01
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry ZEISS 2017-08-08
Pattern Scanning Laser Trabeculoplasty Medicare Reimbursement for Pattern Scanning Laser Trabeculoplasty Topcon Medical Systems 2018-06-18
Piggyback IOLs Medicare Reimbursement for Surgery to Correct Anisometropia CCG 2018-05-22
Premium IOLs Reimbursement for Premium IOLs CCG 2018-02-15
Presbyoptic IOL Reimbursement for TECNIS Symfony® IOL Abbott Medical Optics 2016-08-24
Presbyoptic Toric IOL Reimbursement for TECNIS Symfony® TORIC IOL Abbott Medical Optics 2016-08-24
Punctum Plugs Medicare Reimbursement for Punctal Occlusion by Punctal Plug OASIS Medical 2020-01-20
Punctum Plugs Medicare Reimbursement for Punctal Occlusion with Plug CCG 2020-01-24
QMB Practice Considerations Related to QMB (Qualified Medicare Beneficiary) Status CCG 2018-02-17
Refractions Medicare and Refractions CCG 2018-03-27
Refunding Overpayment Coping with an Overpayment CCG 2018-02-15
SCOCA Surgical Correction of Corneal Astigmatism CCG 2018-05-22
SCODI iWellness Exam Prophylactic Testing Optovue 2020-01-28
SCODI Screening Testing with SCODI ZEISS 2017-01-01
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment CCG 2019-04-16
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment Heidelberg Engineering 2018-03-25
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment Optovue 2020-01-28
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment ZEISS 2019-03-20
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment CCG 2019-04-16
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment Heidelberg Engineering 2018-03-25
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment Optos 2020-02-14
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment Optovue 2020-01-28
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment(Swept Source OCT) Topcon Medical Systems 2017-01-01
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment(SPECTRAL DOMAIN OCT) Topcon Medical Systems 2017-01-01
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment ZEISS 2019-03-20
Screening Payment for Screening by optomap Fundus Photography Optos 2020-02-11
Screening Medicare Policy on Screening Fundus Photography Nidek 2018-04-24
Self-tonometry Remote Physiologic Monitoring with Icare HOME Tonometer Icare 2019-09-01
Sensorimotor Exam Reimbursement for Quantitative Sensorimotor Examinations CCG 2019-01-15
Signatures Medicare Signature Guidelines CCG 2018-02-15
Single Use Items Medicare Regulations for Single-Use Items in ASCs MicroSurgical Technology 2014-01-01
Skilled Nursing Facility Skilled Nursing Facility Consolidated Billing CCG 2017-09-14
Specular Microscopy Medicare Reimbursement for Specular Microscopy Heidelberg Engineering 2018-03-25
TPE Skilled Targeted Probe and Educate (TPE) Reviews CCG 2017-11-30
Trabeculoplasty Medicare Reimbursement for Selective Laser Trabeculoplasty Ellex 2020-02-24
Ultrasonic Biomicroscopy Reimbursement for Ultrasonic Biomicroscopy Ellex 2020-02-24
Uninsured Patients Uninsured and Indigent Patients CCG 2018-02-15
Vision vs. Medical Exams Comparing Medical Exams with Routine Vision Exams CCG 2018-05-22
Perimetry Reimbursement for Perimetry with Ceeable Visual Field Analyzer Ceeable 2018-05-07
Visual Fields Medicare Reimbursement for Tests with CenterVue’s Compass CenterVue 2019-04-02
Visual Fields Medicare Reimbursement for Visual Field Testing CCG 2019-04-17
Perimetry Medicare Reimbursement for Perimetry Heidelberg Engineering 2018-03-25
Visual Fields Medicare Reimbursement for Visual Field Testing OCULUS 2016-04-26
Visual Fields Medicare Reimbursement for Visual Field Testing ZEISS 2019-05-29
Wavefront Aberrometry Reimbursement for Wavefront Aberrometry Topcon Medical Systems 2018-07-10
YAG Capsulotomy Medicare Reimbursement for YAG Laser Capsulotomy CCG 2019-04-19

 

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