- Ophthalmology and Optometry Billing Guide
- General Information
- Provider Qualifications
- Local Coverage Determinations
- National Coverage Determinations
- Limitation of Liability (Advance Beneficiary Notice)
- Modifier Usage
- Glaucoma Screening ‒ Preventive Services Coverage
- National Correct Coding Initiative
- Related Content
- Micro-invasive Glaucoma Surgery Update
Related Content
- CMS IOM Publication 100-01, Medicare General Information, Eligibility and Entitlement Manual, Chapter 5, Section 70.5
- CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 15
- Includes the following sections with reference to ophthalmology or optometry:
- Section 30.4: Optometrist’s Services
- Section 80.6.2: Interpreting Physician Determines a Different Diagnostic Test is Appropriate
- Section 130: Leg, Arm, Back, and Neck Braces, Trusses, and Artificial Legs, Arms, and Eyes
- Section 220.1.3: Certification and Recertification of Need for Treatment and Therapy Plans of Care; and
- Section 280.1: Glaucoma Screening
- Includes the following sections with reference to ophthalmology or optometry:
- CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 16
- “General Exclusions From Coverage,” includes Section 90, “Routine Services and Appliances,” about eyeglasses, contact lenses, and eye examinations.
- CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 18
Reviewed 10/13/2023