tci Part B Insider - 2010 Issue 22

Part B Coding Coach: Cataracts: Break Down Your Coding for Best PC-IOL Payments

Medicare won't cover the full cost, but splitting the bill into covered and non-covered portions will help you get the reimbursement you deserve.After cataract surgery, an ophthalmologist inserts a Crystalens intraocular lens to correct a Medicare patient's presbyopia. Can you code for the physician's services and supplies? The answer is yes -- with these exceptions.Presbyopia-correcting (P-C) IOLs address the eye's inability to focus on near objects, says Riva Lee Asbell, ophthalmic coding and reimbursement educator and principal of Riva Lee Asbell Associates in Ft. Lauderdale, Fla. PC-IOLs can improve the quality of life for cataract patients who...

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