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Medicare Payment Rates for Eye Care Providers & ASCs

Want customized rates?  order Your Locality now

Your guide to  the latest Medicare payment rates.

Each year, the Centers for Medicare & Medicaid Services (CMS) publishes updates for payment policies, payment rates, and other service provisions furnished under the Medicare Physician Fee Schedule (PFS). Practices must adopt these Medicare updates every year to establish accurate physician fees by geographic location.

Let our easy-to-use Medicare Payment Rates (MPR) program for eye care providers do the work for you. BSM experts create this tool annually in order to help your billing team easily navigate Medicare updates and fee schedule changes.

  • Save time by easily looking-up the Medicare allowable for your geographic location.
  • Optimize reimbursement by creating an accurate baseline for practice fees.
  • Easily integrate reimbursement rate data into your electronic practice management system.
  • Expert consultants designed this tool with over 60 years of industry specific knowledge.
  • Quickly lookup reimbursement rates by CPT code without the extra steps.
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Eyecare-specific codes 

Let BSM experts do the work for you — each year, we review the national fee schedule and provide you with eye care specific codes only, giving you the most relevant data and saving you valuable time. Available for your practice or ASC.

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Customized report per Practice locality

Many factors affect how you set your annual practice fees, including your local market. This tool is created specifically for your practice based on the zip code(s) you practice in.  

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Customized Report per ASC CBSA

The ASC version of the tool is created by taking the ASC zip code and using the Core-Based Statistical Area (CBSA) data to tailor this for your ASC.

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intuitive payment indicator legend

This quick, one-page reference guide clearly explains payment indicators to help you navigate through your baseline practice fees for the current year.

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Relevant Info in One Guide

Contains relevant information regarding procedure codes, including CPT codes, assistant surgeon coverage, bilateral payment indicators, diagnostic test supervision, global periods for surgery, and multiple procedure payment indicators.

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Enterprise Version

If you are a large multi-location practice with one or more ASCs it may be to your advantage to purchase our Enterprise version of this program. 

Learn more

Pricing Options

One low fee for the entire year.


First practice or ASC

*National rates free for BSM Connection members


Per additional practice/ASC locality

Download our free 2022 Medicare Reimbursement Impact Calculators to get a quick look at Medicare reimbursement changes for a few high-volume Current Procedural Terminology (CPT) and Minimally Invasive Glaucoma Surgery (MIGS) codes.

Timely and relevant data, year-round access

Give your staff unlimited access to the Medicare Payment Rates tool, which was developed by expert consultants with over 60 years of industry experience, for one low practice fee.

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