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Ophthalmology and Optometry Coding Alert

Optometry/Ophthalmology Coding:

Do We Bill Eye Exams to Medical or Vision Coverage?

Published on Thu Sep 17, 2026

Question: An established patient presented for their annual eye exam. The physician didn’t note any concerns, but they did document bilateral myopia and history of retinopathy of prematurity. The patient’s payer is commercial insurance, but they also have vision coverage through a different payer. Should we bill the encounter to the medical insurance or the vision coverage since we’re billing [...]
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