Optometry & Ophthalmology Billing · North Dakota

Optometry & Ophthalmology billing and revenue cycle for North Dakota providers.

North Dakota operates 150 optometry / ophthalmology billing organizations registered in NPPES, representing 0.3 percent of the U.S. optometry / ophthalmology billing footprint. North Dakota is an established optometry / ophthalmology billing market. Eye care revenue cycle blends ophthalmology vs medical E/M decisions, refraction vs medical separation, cataract surgery and IOL billing, diagnostic imaging, and Medicare vision benefit complexity. North Dakota eye care practices need RCM with specialty depth.

150
NPPES orgs in ND
0.3%
of US market
#46
national rank
90%+
Realization target
Last updated: May 31, 2026 · Authored by ASP-RCM Solutions Team

What good optometry / ophthalmology billing execution looks like for North Dakota providers.

The North Dakota optometry / ophthalmology billing market has its own quirks. Here is the operating discipline we install on every North Dakota 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. North Dakota practices need rules for when to use which.
  2. Refraction billing vs medical billing separationRefraction (92015) is typically not covered by medical insurance. North Dakota 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). North Dakota practices need to set patient expectations and bill correctly.

More Midwest state guides.

Sister Midwest state pages for optometry / ophthalmology billing.

FAQ: optometry / ophthalmology billing in North Dakota.

How many optometry / ophthalmology billing providers operate in North Dakota?

NPPES lists 150 optometry / ophthalmology billing organizations in North Dakota, representing 0.3% of the U.S. footprint. Top concentrations are in Fargo (39), Minot (18), Bismarck (18).

Does North Dakota Medicaid cover optometry / ophthalmology billing services?

Yes. North Dakota Medicaid covers optometry / ophthalmology billing services for eligible beneficiaries, with plan-specific authorization rules and rate structures that vary by year.

What commercial payers cover optometry / ophthalmology billing in North Dakota?

All major national commercial payers cover optometry / ophthalmology billing in North Dakota, including UnitedHealthcare/Optum, Aetna, Cigna/Evernorth, the dominant North Dakota Blue Cross Blue Shield plan, and (where active) Humana.

Does ASP-RCM serve optometry / ophthalmology billing providers in North Dakota?

Yes. ASP-RCM Solutions provides optometry and ophthalmology billing services for providers in North Dakota and across all 50 states. Senior partners on every account. Request a free 30-day audit.

How do I get started?

Request a free 30-day RCM audit. We assess your current state, identify revenue leakage, and produce a written prioritized recommendations list.

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

Send us your last 90 days of claim data. We will send back a 4-page audit with prioritized recommendations and dollar estimates.

Request audit Talk to a senior partner