Ophthalmology
Spotlight
Medicare Vision Services fact sheet
Medical documentation
Medical record documentation is used to verify that services were billed correctly and to ensure that payment and processing of Medicare claim(s) are accurate and based on sound policy. Find information, tips, and resources regarding medical documentation.
Checklist: Cataract extraction
Education
View educational information from First Coast and CMS on ophthalmology services.
LCD / NCD - policy information
Search for ophthalmology-related LCDs using these available resources:
- LCD interactive index tool
- View First Coast’s active / proposed LCDs / articles on CMS’ Medicare coverage database (MCD)
NCD
CMS internet-only manuals (IOM)
- Publication 100-02 – Medicare Benefit Policy Manual -Chapter 15, Section 30.4 Optometrist's Services, Section 120 Prosthetic Devices. Chapter 16, Section 10 General Exclusions from Coverage, Section 90 Routine Services and Appliances
- Publication 100-3 – Medicare NCD Manual URL- Chapter 1, Part 1, Section 10.1 Use of Visual Tests Prior to and General Anesthesia During Cataract Surgery; Section 80.8 Endothelial Cell Photography; Section 80.10 Phaco-Emulsification Procedure - Cataract Extraction; Section 80.12 Intraocular Lenses (IOLs)
- Publication 100-04 – Medicare Claims Processing Manual-Chapter 14, Section 40.3 Payment for Intraocular Lens (IOL), Chapter 32, Section 120 Presbyopia-Correcting (P-C IOLS) and Astigmatism-Correcting Intraocular Lenses (A-C IOLs) (General Policy Information)
- Publication 100-08 – Medicare Program Integrity Manual-Chapter 13, Section 13.5.4 Reasonable and Necessary Provision in an LCD
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