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Medicare fee schedule and CMS

Discussion in 'Optometry' started by UCFavenger, Jun 18, 2008.

  1. UCFavenger


    Jun 18, 2008
    Hello all, Newb here....

    I am trying to use the cms website to locate medicare fee schedules associated with optometric coding. However, when I enter any coding into the search function, i dont get any results....

    Basically, im lost....ha.

    Can someone please steer me to the best way to research optometric medicare fee schedules?

    In the interim, I will continue to try to use the forum search feature to get some answers on my own.

    Thank you all in advance!!
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  3. KHE

    KHE Senior Member Optometrist SDN Advisor 10+ Year Member

    Jun 14, 2005
    Optometrists and ophthalmologists are paid the same for medicare claims. Try searching under ophthalmology and you should find the information you want.
  4. UCFavenger


    Jun 18, 2008
  5. eyestrain

    eyestrain Member 7+ Year Member

    Sep 29, 2005
    South Dakota
    What are of the country are you looking at? There are different groups that handle medicare in various parts of the country. For example, in South Dakota and several other states, Noridian Medicare is the carrier. If you go to their website,, you can find the fee schedules for each of the states they handle pretty easily. You should be able to find the fee schedule on the site of whoever administers your area's medicare.
  6. UCFavenger


    Jun 18, 2008

    THANKS. Now I am on the right track!! :D

    First experience on this forum = Success :soexcited:
  7. Ben Chudner

    Ben Chudner Senior Member Optometrist Moderator Emeritus Lifetime Donor SDN Advisor Classifieds Approved 10+ Year Member

    Apr 1, 2005
    Rochester, NY
    That is the correct site. It will allow you to get the fee schedule for every carrier in the US for every code. Go to the bottom of the page and accept the agreement and you will be sent to a page with the search criteria.

    Good luck.
  8. UCFavenger


    Jun 18, 2008


    I think I was using a set of un-supported coding. That is a whole other issue...

    But I have the CMS code search working perfectly now. I was also able to find the local carrier's website and that has tons of good info. Much easier to follow compared to the cms website!!

    Again, thank you to all for the support. :)

  9. eyepoker

    eyepoker 2+ Year Member

    Jan 29, 2008
    is it true that in July Trailblazer will not be handling medicare (for DC, MD, VA), and the government will have another contract company to handle all the medicare cases?

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