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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