Medicare does not pay for Routine Eye Exams (refractions) even with medical diagnoses in most instances. You still bill them for it but add a -GY modifier to it and it is the patient’s responsibility to pay. We always make sure the patient is aware of this before hand so there is no surprise charges for them. Until 01/01/11 Medicare did not pay for ANYTHING routine but as of the beginning of this year with the healthcare reform they now pay for a physical although I'm not sure of the limitations. Hope that helps some!
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