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IOL Reimbursement

kelliep

kelliep

Guru
Messages
153
Location
Punxsutawney, PA
Hello,

Can anyone tell me if they bill for and receive payment for IOLs (Intraocular Lenses) with a cataract procedure? Specifically codes V2632 and V2630?

Thanks!
 
Medicare reimbursement for the standard IOL is bundled with 66984/66982, which we do in an ASC. Patients are responsible for any premium IOL not covered by medicare which would include V2788-(restore lens) & V2787-(toric) and they would need to sign an ABN form since they are not covered by medicare.

We do not bill any V2630/V2632 (only covered when services are rendered in physician office) with 66984/66982.

https://www.cms.gov/Outreach-and-Ed...k-MLN/MLNMattersArticles/downloads/MM5527.pdf
 
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