contact lens fitting cpt code

Last months column highlighted the differences between two CPT codes for contact lens fitting. Corneal Lens Both Eyes Except for Aphakia.

Keratoconus Coding The Battle Of The Bulge

CPT Code information is available to subscribers and includes the CPT code number short description long description guidelines and more.

. Use this when the purpose of the lens is. I was the AOA stakeholder advisor to the CPT Editorial Committee that created the 92072 and nowhere was its limitation to soft lenses only ever discussed. The codes are published annually by the American Medical Association.

According to the CPT For subsequent fittings report using evaluation and. 92313 - CPT Code in category. Most plans provide coverage for contact lenses in lieu of eyeglasses.

Instead call Superior Vision Customer Service at 8005073800 and we will be glad to help you. Use this code when you are fitting soft contact lenses or corneal GP lenses unless the patient has aphakia. Two of these are Category III codes for femtosecond laserassisted keratoplasty.

We submit CPT codes 99213 -25 65435 RT Removal of corneal epithelium and 92071 RT Bandage contact lens fitting for these services. Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation. Computerized corneal topography unilateral or bilateral with interpretation and report.

Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation. According to CCI edits that took effect April 1. Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of.

The other two are Category I codes for fitting contact lenses92071 for treatment of ocular surface disease and 92072 for management of keratoconus. Current Procedural Terminology CPT 92310. V2511-RT and V2511-LT contact lens GP toric per lens Usual and customary rate.

Please do not use the Fax Back option for a contact lens benefit authorization. This code is used for the fitting of a contact lens for the management of keratoconus. 500 for 92310 250 for V2511-RT and 250 for V2511-LT.

92310 - CPT Code in category. Comprehensive contact lens evaluation. In addition to the basic eye examination a contact lens fitting is reimbursable with CPT.

To this end the fitting codes used for post-surgical cases are 92310-12 and 92070. 92072 Fitting of Contact Lens for. Commercial Payers Temporary Codes S0592 is a valid 2022 HCPCS code for Comprehensive contact lens evaluation or just Comp cont lens eval for short used in Vision items or services.

The codes for aphakic contact lens fits are either 92311 for one eye or 92312 for both eyes. 92310 Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens with Medical Supervision of Adaptation. Prescription of optical and physical characteristics of and fitting of contact lenses with medical supervision of adaptation.

CPT defines these as. Contact Lens Fits Part Two Continuing the review of CPT codes 92070 and 92310. The text and sub-text language for the 92072 code reads.

Corneal lens both eyes except for aphakia. Our practice keeps receiving denials for the fitting of bandage contact lens. Contact Lens Fits Part Two Continuing the review of CPT codes 92070 and 92310.

26 rows 92326Replacement of Contact Lens. These are the bread-and-butter codes used for routine contact lens services. 92071Fitting of Contact Lens for Treatment of Ocular.

Fitting of a contact lens for management of keratoconus initial fitting. 92313 - CPT Code in category. Contact Lens Services CPT Code range 92310- 92326 The Current Procedural Terminology CPT code range for Ophthalmology Services and Procedures 92310-92326 is a medical code set maintained by the American Medical Association.

Here well expand on that topic. Once youve determined the patient qualifies for medically necessary contact lenses you must select the proper code for the contact lens they are being fitted for. Contact lens benefits may include full coverage for fitting evaluation contact lenses and up to one follow-up visit if the contact you are fitted with is considered by Spectera to be a covered contact.

Corneal lens both eyes except for aphakia A 92310 should be charged for the fitting of contact. CPT Code information is available to subscribers and includes the CPT code number short description long description guidelines and more. Here is a list of the applicable CPT codes and definitions for contact lens fitting.

Contact Lens Evaluation follow up visit. Contact Lens Services CPT Code range 92310- 92326 The Current Procedural Terminology CPT code range for Ophthalmology Services and Procedures 92310-92326 is a medical code set maintained by the American Medical Association. 92310 Contact lens fitting for corneal lenses both eyes except for aphakia.

92310 Prescription fitting dispensing of contacts by doctor 92314 Prescription fitting dispensing of contacts by tech S0592 Comprehensive Contact Lens Evaluation Contact Lens Materials Acceptable Code Modifier S0500 ALL DISPOSABLEPLANNED REPLACEMENT CONTACTS S0512 DAILY WEAR SPECIALTY CONTACTS V2330 CONTACT LENS SCLERAL. Medicare keeps paying the exam and procedure only. Code 92025 is defined as unilateral or bilateral so reimbursement is the same whether one or both eyes are tested.

Here they are with their corresponding CPT definitions. This is defined by CPT as the prescription of optical and physical characteristics of and fitting of a contact lens with medical supervision of adaptation. Prominent among this years changes to the Current Procedural Terminology CPT are four new codes for ophthalmology.

The procedure code of choice for disease treatment is 92070. Corneal Lens Both Eyes Except for Aphakia V codes. 8 Because this is a bilateral code make sure to report materials in addition to this code using either 99070 or the appropriate Healthcare Common Procedure Coding System HCPCS Level II material code.

Contact Lens Spectrum Specialty Lens Billing And Coding