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MLN Product (Revised): Medicare Vision Services

This revised product comprises Subregulatory Guidance for DMEPOS Suppliers, and its content is based on publicly available content at https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-416/subpart-G,
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf#page=139,
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c16.pdf#page=26, https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c18pdf.pdf, and https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf#page=253.

CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates vision providers about covered vision services. This product also includes information on various DMEPOS topics such as Glaucoma Screenings, IOLs & NTIOLs, Ambulatory Surgical Center NTIOLs, and Other Eye-Related Medicare-Covered Services and includes links to applicable laws, regulations, and compliance information.

Revisions for this product include the following content update:
• We added CPT codes 66989 and 66991 to Group 1 codes (page 6)

The previous version of this Product is currently posted on CMS website at
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/VisionServices_FactSheet_ICN907165.pdf.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 02, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.