Refractive Lenses

Attend a Webinar

Refractive Lenses - 01/27/21

Coverage

Refractive Lenses Local Coverage Determination (LCD) and Policy Article [PDF]

Documentation

Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to assist in obtaining documentation
Refractive Lenses Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation

Tips

Topic	Details
RT/LT Modifiers	Effective for claims with dates of service (DOS) on/after 3/1/2019, suppliers must bill each item on two separate claim lines using the RT and LT modifiers and 1 UOS on each claim line. Claim lines for HCPCS codes requiring use of the RT and LT modifiers, billed without the RT and/or LT modifiers or with the RTLT on a single claim line, will be rejected as incorrect coding. See Correct Coding - RT and LT Modifier Usage Change for more information

Topic

Details

RT/LT Modifiers

Effective for claims with dates of service (DOS) on/after 3/1/2019, suppliers must bill each item on two separate claim lines using the RT and LT modifiers and 1 UOS on each claim line. Claim lines for HCPCS codes requiring use of the RT and LT modifiers, billed without the RT and/or LT modifiers or with the RTLT on a single claim line, will be rejected as incorrect coding. See Correct Coding - RT and LT Modifier Usage Change for more information

Last Updated Mon, 04 Jan 2021 14:15:51 +0000

DME Jurisdiction A

Refractive Lenses - JA DME

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