SpecialtiesOphthalmology
Ophthalmology
medical billing
Two E/M systems, and diagnostics with their own frequency rules.
Where it leaks
Why this specialty
loses money.
Ophthalmology can bill office visits under either the general E/M codes or the ophthalmological service codes, and the better choice differs by payer and by visit. Choosing by habit rather than by comparison quietly gives revenue away on a large share of encounters.
What makes it different
- Eye codes versus E/M codes, chosen per payer
- Imaging frequency limits per eye, per period
- Bilateral procedures and the modifiers that pay them
- Global periods on injections and laser procedures
How it is covered
The same eight disciplines,
tuned to this specialty.
Ophthalmology billing is not a separate service — it is the same revenue cycle, with the rules that matter here applied at each stage. The assessment reviews all eight against your own data.
Revenue assessment
How is ophthalmology
billing performing for you?
A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.