Billing tip of the day: Remember these 3 rules when billing Medicare for IOLs

Angie Stewart - Print  |

When billing Medicare for ophthalmology providers, it's crucial to be aware of what intraocular lenses items and services Medicare covers, according to Four Seasons Healthcare Consultants CEO Betty Smith. 

Ms. Smith shared the following tips with Becker's ASC Review:

1. Bill only conventional IOL implanted during cataract surgery.
2. Only bill facility and physician services and supplies required to insert a conventional IOL during cataract surgery.
3. Remember to bill only one pair of eyeglasses or contact lenses as a prosthetic device furnished after each cataract surgery with insertion of an IOL.

Note: When billing for DME supplies, such as eyeglasses or contact lenses, providers should submit claims to their DME Medicare Administrative Contractor (DME MAC) (i.e. Palmetto GBA).

If you would like to share a coding & billing tip to be featured in our "tip of the day" series, please email Angie Stewart at

More articles on coding, billing and collections:
Coding tip of the day: Dig into the anatomic details
ASC coding tip of the day: Collect every last penny
3 common medical billing and coding challenges

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