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Optometry & Ophthalmology Billing & RCM

Optometry & Ophthalmology billing and revenue cycle, 50-state coverage.

Optometry and ophthalmology billing services from ASP-RCM Solutions. 47,746 NPPES optometry / ophthalmology billing providers across all 50 states + DC. BHCOE channel partner. HIPAA + SOC 2 Type II compliant. Senior partners on every account.

What good optometry / ophthalmology billing execution looks like.

The operating discipline we install on every optometry / ophthalmology billing engagement.

  1. Comprehensive eye exam vs E/M decisionEye care providers choose between ophthalmology E/M codes (92002-92014) and medical E/M codes (99202-99215) per visit. your state practices need rules for when to use which.
  2. Refraction billing vs medical billing separationRefraction (92015) is typically not covered by medical insurance. your state practices need clean separation between covered medical eye care and self-pay refraction services.
  3. Cataract surgery + IOL billingCataract surgery (66984) plus IOL device billing (V2632 for standard, premium IOL upgrade for patient self-pay) requires accurate facility/professional split and patient responsibility tracking.
  4. Diagnostic imaging (OCT, fundus photo) billingOCT (92133, 92134), fundus photography (92250), and visual field testing (92083) carry distinct codes with frequency limits and medical necessity criteria.
  5. Glaucoma + retina specialty codingGlaucoma SLT (65855), iStent (0191T), and retina anti-VEGF injections (67028 + J-codes) require specialty coding depth.
  6. Medicare vision benefit limitationsMedicare typically covers medical eye care but not routine vision (refraction, eyeglasses). your state practices need to set patient expectations and bill correctly.

Top optometry / ophthalmology billing markets by NPPES org count.

State-level RCM guides for the largest optometry / ophthalmology billing markets in the U.S.

View all 50 state guides →

Free 30-day audit for optometry / ophthalmology billing providers.

Send us your last 90 days of claim data. We assess realization, denial patterns, and operational discipline. Written 4-page report yours to keep.

Request audit Talk to a senior partner