Our practice of optometry provides services within two principal segments of eye care: refractive and medical. It’s helpful to understand the difference as it determines how the services are coded and/or billed. Refractive services refer to the determination of refractive error (glasses prescriptions and most contact lenses) and annual or routine vision examinations that do not have a health related complaint as the primary motivation for the visit. Medically related complaints including concerns about reduced vision, cataracts, glaucoma, macular degeneration, dry eyes, visual field defects and other health concerns are billed separately from the refractive component. This change from the older optometry tradition of bundled refractive and medical care demands separate billing based on complaint or 'reason for visit'.
- Examination for glasses, also referred to as "determination of refractive error"
- Fitting of contact lenses including specialty contact lenses for high magnitude astigmatism, presbyopia (bifocals) rigid and scleral contact lenses.
- Retail sale of glasses and contact lenses
- Spectacle frame selection, adjustment and other optical dispensing services
· Visual field analysis or 'perimetry' (threshold as well as screening) incorporating frequency doubling technology (FDT) via the Humphrey Matrix perimeter.
· Ocular coherence tomography scanning (OCT) of the optic nerve and macula
· Anterior segment or slit lamp exam, posterior pole evaluation via direct ophthalmoscopy and dilated fundus examination (DFE) via indirect ophthalmoscopy.
· Anterior segment photography
· Cataract evaluation, as well as pre and post-operative management
· Glaucoma evaluation and management
· Care for dry eye syndrome (DES) and meibomian gland dysfunction (MGD)
· Foreign body removal
. Age related macular degeneration (AMD) evaluation and management
These lists are not all inclusive but demonstrate the range of professional services and materials we make available to you.