Medicare_Carriers_Manual / 2020 / 2020.25_Optometrists.--

Why This Topic Matters

It helps readers determine how Medicare views optometrist services in different contexts and what kinds of claims need additional review. The article is especially relevant when optometry care overlaps with ophthalmology services or investigational eye-care procedures.

Article Sections

1. Services Furnished Through March 31, 1987

   Describes the historical Medicare treatment of optometrist services during the period before April 1, 1987. The section focuses on coverage context and the types of services discussed in the manual.

2. Services Furnished After March 31, 1987

   Explains the later Medicare framework for optometrist services under state law or regulation. It also notes the broader coverage criteria referenced in the manual.

3. General Claims Guidelines

   Provides claims-administration guidance for services furnished by optometrists, including coordination with other eye-care practitioners. It also addresses review processes for certain overlapping or duplicate service situations.

4. FDA Monitored Studies of Intraocular Lenses (IOLs)

   Summarizes special Medicare coverage considerations for investigational intraocular lens studies overseen by the FDA. The section discusses claims handling and practitioner coordination during the study period.

5. Concurrent Care

   Describes Medicare recognition of services when more than one practitioner is involved in concurrent care. The section addresses payment considerations in coordinated eye-care settings.