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
A-Scan Medicare Reimbursement for A-Scan Biometry Accutome 2015-07-01
ABN Medicare Advance Beneficiary Notice of Noncoverage CCG 2018-03-28
Amniotic Membrane Reimbursement for AmnioGuard/UCGuard Bio-Tissue 2018-02-16
Amniotic Membrane Reimbursement for Amniotic Membrane Transplantation Bio-Tissue 2018-03-01
Amniotic Membrane Reimbursement for PROKERA Bio-Tissue 2018-02-16
Amniotic Membrane Reimbursement for Amniotic Tissue Integra 2018-01-04
Auditing Auditing Medical Records CCG 2017-05-26
B-Scan Medicare Reimbursement for Ophthalmic B-Scan Accutome 2015-07-01
Bandage Contact Lenses Reimbursement of Therapeutic Bandage Contact Lenses CCG 2017-01-01
BlephEx Coding and Billing for BlephEx™ CCG 2016-03-09
Canaloplasty Reimbursement for Transluminal Canal Dilation CCG 2017-01-11
Canaloplasty Reimbursement for Canaloplasty Ellex 2018-01-31
Cataract Surgery Medicare Rules for Computer Assisted Cataract Surgery ZEISS 2017-12-01
Co-management Co-Management of Cataract Surgery with Premium IOLs CCG 2018-02-14
Complex Cataract Medicare Reimbursement for Complex Cataract Surgery CCG 2018-03-27
Complex Cataract Medicare Reimbursement for Complex Cataract Surgery Iantech 2017-10-03
Compounded Medications Postoperative Medications from a Compounding Pharmacy CCG 2016-05-03
Corneal Collagen Cross-Linking Reimbursement for PROKERA folling Corneal Collagen Cross-Linking Bio-Tissue 2017-04-25
Corneal Collagen Cross-Linking Reimbursement for Corneal Collagen Cross-Linking CCG 2018-02-01
Corneal Hysteresis Medicare Reimbursement for Corneal Hysteresis Reichert & AMETEK 2016-03-02
Corneal Pachymetry Medicare Reimbursement for Corneal Pachymetry Accutome 2015-07-01
Corneal Pachymetry Medicare Reimbursement for Corneal Pachymetry CCG 2018-03-27
Corneal Pachymetry Medicare Reimbursement for Optical Corneal Pachymetry Visionix 2014-12-11
Corneal Topography Medicare Reimbursement for Corneal Topography CCG 2018-03-27
Corneal Topography Medicare Reimbursement for Corneal Topography Haag-Streit USA 2015-10-27
Corneal Topography Medicare Reimbursement for Corneal Topographyr Nidek 2018-05-02
Corneal Topography Medicare Reimbursement for Corneal Topography Topcon Medical Systems 2017-01-01
Corneal Topography Medicare Reimbursement for Corneal Topography Visionix 2015-01-15
DSEK Reimbursement for DSEK/DSAEK CCG 2017-01-01
Endoscopic Cyclophotocoagulation Medicare Reimbursement for Endoscopic Cyclophotocoagulation (ECP) Beaver-Visitec International 2015-08-13
Endothelial Cell Count Medicare Reimbursement for Endothelial Cell Count CCG 2018-03-27
Endothelial Cell Count Medicare Reimbursement for Endothelial Cell Count Konan Medical USA 2015-06-15
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 2017-01-01
Exam for Second Surgery Medicare Reimbursement for Exam Prior to Second Cataract Surgery CCG 2018-03-28
Extended Ophthalmoscopy Medicare Reimbursement for Extended Ophthalmoscopy CCG 2018-03-27
External Ocular Photos Medicare Reimbursement for External Ocular Photography with Pictor Plus Volk Optical 2017-01-01
External Ocular Photos Medicare Reimbursement for External Ocular Photography with Volk Eye Check Volk Optical 2017-01-01
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 2017-01-05
Fluorescein Angiography Medicare Reimbursement for Fluorescein Angiography Canon 2017-03-10
Fluorescein Angiography Medicare Reimbursement for Fluorescein and ICG Angiography Optos 2018-06-07
Fluorescein Angiography Medicare Reimbursement for Fluorescein and ICG Angiography Heidelberg Engineering 2018-03-251
Fluorescein and ICG Angiography Medicare Reimbursement for Fluorescein and ICG Angiography ZEISS 2017-08-08
Fundus Photos Reimbursement for Fundus Photography CCG 2018-03-27
Fundus Photos Medicare Reimbursement for Fundus Photography Canon 2017-03-10
Fundus Photos Medicare Reimbursement for Fundus Photography Nidek 2018-04-24
Fundus Photos Medicare Reimbursement for optomap plus Fundus Photography Optos 2018-06-07
Fundus Photos Medicare Reimbursement for Fundus Photography Topcon Medical Systems 2017-01-01
Fundus Photos Medicare Reimbursement for Fundus Photography with iCam Optovue 2017-02-16
Fundus Photos Medicare Reimbursement for Fundus Photography with Pictor Plus and iNview Volk Optical 2017-01-01
Fundus Photos Medicare Reimbursement for Fundus Photography with RHA™ Annidis Health Systems 2015-07-15
Fundus Photos Reimbursement for Fundus Photography Heidelberg Engineering 2018-03-25
Fundus Photos Medicare Reimbursement for Fundus Photography ZEISS 2017-03-20
Fundus Photos Medicare Reimbursement for Fundus Photography with the Clarus 500 ZEISS 2017-08-04
Genetic Testing For Corneal Dystrophy Reimbursement of Genetic Testing for Corneal Dystrophy Avellino 2017-03-21
Glaucoma Screening Medicare Reimbursement for Glaucoma Screening CCG 2018-03-27
Gonioscopy Reimbursement for Gonioscopy CCG 2018-03-27
Goniotomy Reimbursement for Goniotomy or Trabeculotomy ab Interno CCG 2017-01-08
H&P Medicare Reimbursement for History and Physical (H&P) CCG 2018-03-28
HEDIS HEDIS® Primer for Diabetic Eye Exams CCG 2018-02-20
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 2018-08-14
i.Profilerplus Reimbursement for the i.Profilerplus® by ZEISS ZEISS 2015-06-05
Implantable Miniature Telescope Low Vision Assessment Prior to Intraocular Telescope VisionCare Ophthalmic Technologies 2016-03-29
Implantable Miniature Telescope Medicare Reimbursement for Low Vision Rehabilitation VisionCare Ophthalmic Technologies 2016-03-29
Implantable Miniature Telescope Medicare Reimbursement Related to the Intraocular Telescope VisionCare Ophthalmic Technologies 2016-03-29
Implantable Miniature Telescope Retinologist’s Medicare Reimbursement Related to an Intraocular Telescope VisionCare Ophthalmic Technologies 2016-03-29
Implantable Miniature Telescope Surgeon’s Medicare Reimbursement Related to an Intraocular Telescope VisionCare Ophthalmic Technologies 2016-03-29
Indocyanine-Green Angiography Medicare Reimbursement for Fluorescein and ICG Angiography CCG 2018-02-16
Intraoperative OCT Medicare Rules for Intraoperative Optical Coherence Tomography ZEISS 2017-12-01
Intravitreal Injections Medicare Reimbursement for Intravitreal Injections CCG 2015-07-02
IOLs Medicare Reimbursement for IOLs used in Cataract Surgery CCG 2017-01-05
IOLs Reimbursement for Implantation of Verisyse™ Phakic IOL Abbott Medical Optics 2012-04-12
Iris Expander Reimbursement for Mechanical Pupil Dilation with Oasis Iris Expander OASIS Medical 2016-03-22
iStent Medicare Reimbursement for iStent Trabecular Micro-Bypass Stent Glaukos 2017-01-31
iStent Medicare Reimbursement for Second iStent CCG 2015-07-07
KAMRA Practice Management Considerations for the KAMRA™ Corneal Inlay CCG 2016-04-28
Laser-Assisted Keratoplasty Reimbursement for Femtosecond Laser-Assisted Keratoplasty CCG 2017-07-19
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 2018-05-22
Laser Vitreous Floaters Reimbursement for Lasering Vitreous Floaters Ellex 2018-02-01
Medicare Secondary Payer Medicare Secondary Payer CCG 2013-12-03
Meibomian Expression Reimbursement for Treatment of Meibomian Gland Dysfunction CCG 2016-04-05
Microperimetry Medicare Reimbursement for Nidek MP-1S and MP-3 Microperimeter Nidek 2018-04-24
Modifier 24 Reimbursement Issues Related to Modifier 24 CCG 2018-02-16
Modifier 25 Reimbursement Issues Related to Modifier 25 CCG 2018-05-21
Modifier 58 Reimbursement Issues Related to Modifier 58 CCG 2018-02-16
Modifier 59 Reimbursement Issues Related to Modifier 59 CCG 2018-02-16
Modifier 78 Reimbursement Issues Related to Modifier 78 CCG 2018-02-16
Monovision Practice Management Considerations for Pseudophakic Monovision CCG 2017-01-05
Noncovered services with cataract Noncovered Services with Cataract Surgery CCG 2018-06-18
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® Omeros 2018-04-05
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry CCG 2018-05-21
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry Haag-Streit USA 2015-10-27
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 2017-01-01
Optical Coherence Biometry Medicare Reimbursement for Optical Coherence Biometry Zeiss 2017-08-08
Screening Payment for Screening by optomap Fundus Photography Optos 2018-06-07
Pattern Scanning Laser Trabeculoplasty Medicare Reimbursement for Pattern Scanning Laser Trabeculoplasty Topcon Medical Systems 2018-06-18
Perimetry Reimbursement for Perimetry with Ceeable Visual Field Analyzer Ceeable 2018-05-07
Perimetry Medicare Reimbursement for Perimetry Heidelberg Engineering 2018-03-25
Piggyback IOLs Medicare Reimbursement for Surgery to Correct Anisometropia CCG 2017-01-05
Plaquenil Reimbursement Issues for Plaquenil Therapy CCG 2017-04-20
Premium IOLs Reimbursement for Premium IOLs CCG 2018-01-15
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 2018-03-19
Punctum Plugs Medicare Reimbursement for Punctal Occlusion with Plug CCG 2018-03-21
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 2017-05-26
SCODI iWellness Exam Prophylactic Testing Optovue 2017-02-24
SCODI Screening Testing with SCODI ZEISS 2017-01-01
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment CCG 2018-03-27
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 2017-08-29
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment Visionix 2015-01-22
SCODI-A Medicare Reimbursement for SCODI of the Anterior Segment ZEISS 2018-02-01
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment CCG 2018-03-27
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 2018-05-08
SCODI-P Medicare Reimbursement for SCODI of the Posterior Segment Optovue 2017-02-24
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 2018-02-01
Screening Medicare Policy on Screening Fundus Photography Nidek 2018-04-24
Selective Laser Trabeculoplasty Medicare Reimbursement for Selective Laser Trabeculoplasty CCG 2017-05-26
Selective Laser Trabeculoplasty Medicare Reimbursement for Selective Laser Trabeculoplasty Quantel Medical 2015-01-26
Self-tonometry Practice Management Considerations for the Icare HOME Tonometer Icare 2017-03-27
Sensorimotor Exam Reimbursement for Quantitative Sensorimotor Examinations CCG 2018-03-27
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
Telemedicine Medicare Reimbursement for Ophthalmic Telemedicine Ellex 2015-01-26
TPE Skilled Targeted Probe and Educate (TPE) Reviews CCG 2017-11-30
Ultrasonic Biomicroscopy Reimbursement for Ultrasonic Biomicroscopy Accutome 2015-07-01
Ultrasonic Biomicroscopy Reimbursement for Ultrasonic Biomicroscopy Ellex 2016-11-17
Ultrasonic Biomicroscopy Reimbursement for Ultrasonic Biomicroscopy Quantel Medical 2015-01-26
Uninsured Patients Uninsured and Indigent Patients CCG 2018-02-15
Vision vs. Medical Exams Comparing Medical Exams with Routine Vision Exams CCG 2014-01-27
Visual Fields Medicare Reimbursement for Visual Field Testing CCG 2018-03-27
Visual Fields Medicare Reimbursement for Visual Field Testing OCULUS 2016-04-26
Visual Fields Medicare Reimbursement for Visual Field Testing ZEISS 2017-08-08
Vitrectomy Reimbursement for In-Office Vitrectomy Insight Instruments 2013-03-13
Wavefront Aberrometry Practice Management Considerations Of Intraoperative Wavefront Aberrometry Clarity Medical Systems 2016-09-27
Wavefront Aberrometry Reimbursement for Wavefront Aberrometry Topcon Medical Systems 2018-07-10
Wavefront Aberrometry Reimbursement for Wavefront Aberrometry Visionix 2014-12-22
YAG Capsulotomy Medicare Reimbursement for YAG Laser Capsulotomy CCG 2017-01-05

 

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