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 2020-07-13
Amniotic Membrane Reimbursement for AmnioGuard/UCGuard Bio-Tissue 2022-08-08
Amniotic Membrane Reimbursement for Amniotic Membrane Transplantation Bio-Tissue 2022-07-25
Amniotic Membrane Reimbursement for PROKERA Bio-Tissue 2022-08-08
Amniotic Membrane Reimbursement for Amniotic Tissue Integra 2018-01-04
Angiography Medicare Reimbursement for Fluorescein and ICG Angiography CCG 2020-02-04
Angiography Medicare Reimbursement for Fundus Angiography Canon 2019-02-18
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
Aqueous Drainage Device Medicare Reimbursement for iStent Trabecular Micro-Bypass Stent Glaukos 2022-01-01
Aqueous Drainage Device Medicare Reimbursement for the Hydrus Microstent Ivantis 2022-01-10
Aqueous Shunt Reimbursement for Baerveldt® Glaucoma Implants J & J Vision 2022-10-12
Aqueous Shunt Reimbursement for the Molteno3 Glaucoma Drainage Device Nova Eye Medical 2020-07-22
Artificial Iris Medicare Reimbursement for an Artificial Iris Veo Ophthalmics 2022-01-14
Auditing Auditing Medical Records CCG 2019-01-11
Bandage Contact Lenses Reimbursement of Therapeutic Bandage Contact Lenses CCG 2022-01-01
BlephEx Reimbursement for BlephEx™ Blephex 2018-11-05
Canaloplasty Reimbursement for Canaloplasty Nova 2022-01-14
Canaloplasty Medicare Reimbursement for Omni Surgical System Sight Sciences 2022-01-01
Cataract Surgery Medicare Reimbursement for Intraoperative Visual Axis Identification CCG 2023-01-31
Cataract Surgery Medicare Rules for Computer Assisted Cataract Surgery ZEISS 2021-09-08
Color Vision Testing Reimbursement for Extended Color Vision Testing Solutions LV 2018-10-22
Color Vision Testing Reimbursement for Extended Color Vision Testing Waggoner Diagnostics 2021-01-28
Co-management Co-Management of Cataract Surgery with Premium IOLs CCG 2022-01-01
Complex Cataract Medicare Reimbursement for Complex Cataract Surgery CCG 2022-05-13
Corneal Collagen Cross-Linking Reimbursement for Corneal Collagen Cross-Linking CCG 2019-04-23
Corneal Pachymetry Medicare Reimbursement for Corneal Pachymetry CCG 2020-01-24
Corneal Topography Medicare Reimbursement for Corneal Topography CCG 2020-01-20
Corneal Topography Medicare Reimbursement for Corneal Topographyr Nidek 2018-05-02
Corneal Topography Medicare Reimbursement for Corneal Topography Topcon Medical Systems 2017-01-01
DSEK Reimbursement for DSEK/DSAEK CCG 2019-04-16
DURYSTA Reimbursement for DURYSTA CCG 2021-03-12
Endoscopic Cyclophotocoagulation Medicare Reimbursement for Endoscopic Cyclophotocoagulation Endo Optiks 2020-01-01
Endothelial Cell Count Medicare Reimbursement for Endothelial Cell Count CCG 2020-01-24
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 2022-05-26
Extended Ophthalmoscopy Medicare Reimbursement for Extended Ophthalmoscopy CCG 2022-01-01
External Photos Medicare Reimbursement for External Photography Nidek 2018-04-24
External Photos External Ocular Photography and AOS Anterior Software Sparca 2020-05-26
External Photos Medicare Reimbursement for External Ocular Photography Topcon Medical Systems 2018-07-01
External Photos Medicare Reimbursement for External Photography CCG 2020-01-01
Eye Codes Eye Exam CPT Codes (CPT 920xx) CCG 2022-01-01
Fundus Photos Reimbursement for Fundus Photography CCG 2020-01-01
Fundus Photos Medicare Reimbursement for Fundus Photography with epiCam epipole 2023-03-28
Fundus Photos Medicare Reimbursement for Fundus Photography Canon 2019-02-18
Fundus Photos Medicare Reimbursement for Fundus Photography Nidek 2018-04-24
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 2020-01-20
Gonioscopy Reimbursement for Gonioscopy CCG 2020-01-15
Goniotomy Reimbursement for Goniotomy or Trabeculotomy ab Interno CCG 2017-01-08
Goniotomy Reimbursement for Goniotomy or Trabeculotomy ab Interno Microsurgical Technology 2022-01-01
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
Intraoperative OCT Medicare Rules for Intraoperative Optical Coherence Tomography ZEISS 2021-08-13
Intravitreal Injections Medicare Reimbursement for Intravitreal Injections CCG 2020-01-20
IOLs Medicare Reimbursement for IOLs used in Cataract Surgery CCG 2019-01-11
IOLs Medicare Reimbursement for the TECNIS Eyhance IOLs J & J Surgical 2021-06-16
Laser Photocoagulation Reimbursement for Laser Photocoagulation Nidek 2018-05-10
Laser Subthreshold Reimbursement for Micropulse Transscleral Cyclophotocoagulation Iridex 2021-10-20
Laser Vitreous Floaters Reimbursement for Lasering Vitreous Floaters CCG 2021-09-03
Low Vision Rehabilitation Medicare Reimbursement for Low Vision Rehabilitation Solutions LV 2018-09-05
Malyugin Ring Medicare Reimbursement for Mechanical Pupil Dilation with Malyugin Ring Microsurgical Technology 2022-01-01
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 2022-01-01
Modifier 25 Reimbursement Issues Related to Modifier 25 CCG 2022-01-01
Modifier 58 Reimbursement Issues Related to Modifier 58 CCG 2022-01-01
Modifier 59 Reimbursement Issues Related to Modifier 59 CCG 2022-01-01
Modifier 78 Reimbursement Issues Related to Modifier 78 CCG 2022-01-01
Monovision Practice Management Considerations for Pseudophakic Monovision CCG 2017-01-05
Noncovered services with cataract Noncovered Services with Cataract Surgery Rayner USA 2021-11-11
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 2021-03-11
OCULUS Pentacam Reimbursement for Tests with the OCULUS Pentacam OCULUS 2021-03-11
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 2020-08-18
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
Piggyback IOLs Medicare Reimbursement for Surgery to Correct Anisometropia CCG 2020-01-24
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
Principal Care Management Principal Care Management CCG 2022-09-01
Punctum Plugs Medicare Reimbursement for Punctal Occlusion by Punctal Plug OASIS Medical 2023-02-03
Punctum Plugs Medicare Reimbursement for Punctal Occlusion with Plug CCG 2022-02-21
QMB Practice Considerations Related to QMB (Qualified Medicare Beneficiary) Status CCG 2021-04-06
Refractions Medicare and Refractions CCG 2022-01-01
Refunding Overpayment Coping with an Overpayment CCG 2022-01-01
Remote Monitoring Remote Physiologic Monitoring CCG 2022-10-17
SCOCA Surgical Correction of Corneal Astigmatism Precision Lens 2022-10-26
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 2020-01-20
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 2020-01-20
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 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 Maestro2 Medicare Reimbursement for SCODI of the Posterior Segment Topcon Medical Systems 2022-03-08
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment ZEISS 2019-03-20
Screening Medicare Policy on Screening Fundus Photography Nidek 2018-04-24
Sensorimotor Exam Reimbursement for Quantitative Sensorimotor Examinations CCG 2022-01-01
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 2021-04-21
Ultrasonic Biomicroscopy Reimbursement for Ultrasonic Biomicroscopy Ellex 2021-04-23
Uninsured Patients Uninsured and Indigent Patients CCG 2018-02-15
Vision vs. Medical Exams Comparing Medical Exams with Routine Vision Exams CCG 2022-02-22
Perimetry Reimbursement for Perimetry with Ceeable Visual Field Analyzer Ceeable 2018-05-07
Perimetry Medicare Reimbursement for Perimetry Heidelberg Engineering 2018-03-25
Visual Fields Medicare Reimbursement for Visual Field Testing CCG 2022-02-22
Visual Fields Reimbursement for Home Perimetry KYS 2020-12-01
Visual Fields Reimbursement for the M&S Melbourne Rapid Fields M&S Technologies 2021-02-16
Visual Fields Medicare Reimbursement for Visual Field Testing OCULUS 2020-08-18
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 2020-01-24

 

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