All PlansBilling CodesMedium impact
Newsletter Vol. 3, No. 12
New Jersey Medicaid·NJ · Optometry, Ophthalmology·Coding
We identified it
Jun 20, 2026
Summary
New billing guidance allows billing for two pairs of glasses as an alternative to bifocals under specific circumstances. This coding update affects vision-related billing procedures and may require documentation of medical necessity or patient preference.
Action Required
Immediately: Review Newsletter Vol. 3, No. 12 at https://www.njmmis.com/documentDownload.aspx?document=3-12.pdf to understand specific billing requirements for two pairs of glasses in lieu of bifocals. Update billing procedures and staff training accordingly. Ensure proper documentation supports the medical necessity or patient preference for separate glasses versus bifocals.