AspireMedX - Smart Revenue Cycle Solutions
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Ophthalmology Billing

Eye exams, diagnostic testing, and cataract surgery, billed under medical and vision plans.

Overview

Ophthalmology practices bill both medical insurance and routine vision plans, often for the same patient, plus diagnostic imaging and surgical procedures with global periods. AspireMedX routes each service to the correct payer and codes exams and procedures accurately.

Where claims usually go wrong

A common leak is billing a medical eye exam to a vision plan (or the reverse), and diagnostic tests billed without supporting diagnoses. We verify payer routing and diagnosis linkage before submission.

What we handle

  • ✓Eye visit codes (92xxx) vs. E/M code selection
  • ✓Medical vs. routine vision plan billing and coordination
  • ✓Diagnostic imaging (OCT, visual fields, fundus photography) billing
  • ✓Cataract and retina surgery coding with global period tracking
  • ✓Intravitreal injection drug billing with correct units

Talk to us about ophthalmology billing

info@aspiremedx.com · +1 (716) 242-2898

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