contact lens fitting cpt code

Prominent among this years changes to the Current Procedural Terminology CPT are four new codes for ophthalmology. 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.

Contact Lens Spectrum Specialty Lens Billing And Coding

92310 Contact lens fitting for corneal lenses both eyes except for aphakia.

. The procedure code of choice for disease treatment is 92070. Contact Lens Evaluation follow up visit. For Subsequent Fittings Report Using Evaluation and Management Services or General Ophthalmological Services.

Current Procedural Terminology CPT 92310. This code is used for the fitting of a contact lens for the management of keratoconus. Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation.

Contact Lens Fits Part Two Continuing the review of CPT codes 92070 and 92310. 500 for 92310 250 for V2511-RT and 250 for V2511-LT. Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation.

Corneal Lens Both Eyes Except for Aphakia V codes. 92313 - CPT Code in category. Most plans provide coverage for contact lenses in lieu of eyeglasses.

These are the bread-and-butter codes used for routine contact lens services. 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. Corneal lens both eyes except for aphakia.

CPT defines these as. 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. The codes are published annually by the American Medical Association.

Comprehensive contact lens evaluation. 92072 Fitting of Contact Lens for Management of Keratoconus Initial Fitting. Code 92025 is defined as unilateral or bilateral so reimbursement is the same whether one or both eyes are tested.

Please do not use the Fax Back option for a contact lens benefit authorization. According to the CPT For subsequent fittings report using evaluation and. Computerized corneal topography unilateral or bilateral with interpretation and report.

92071Fitting of Contact Lens for Treatment of Ocular. Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of. Here well expand on that topic.

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. 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. Corneal lens both eyes except for aphakia A 92310 should be charged for the fitting of contact.

92310 - 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. Corneal Lens Both Eyes Except for Aphakia.

Use this code when you are fitting soft contact lenses or corneal GP lenses unless the patient has aphakia. Movement The movement of the lens is an important issue in the rigid lens fitting because -. To this end the fitting codes used for post-surgical cases are 92310-12 and 92070.

The codes for aphakic contact lens fits are either 92311 for one eye or 92312 for both eyes. 6 rows In addition to the basic eye examination a contact lens fitting is reimbursable with CPT. Here is a list of the applicable CPT codes and definitions for contact lens fitting.

Instead call Superior Vision Customer Service at 8005073800 and we will be glad to help you. 92310 Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens with Medical Supervision of Adaptation. Use this when the purpose of the lens is.

Last months column highlighted the differences between two CPT codes for contact lens fitting. Appending a CPT code with the TC modifier is asking for reimbursement for having used your. 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.

V2511-RT and V2511-LT contact lens GP toric per lens Usual and customary rate. 26 rows 92326Replacement of Contact Lens. Fitting of a contact lens for management of keratoconus initial fitting.

Here they are with their corresponding CPT definitions. CPT Code information is available to subscribers and includes the CPT code number short description long description guidelines and more. CPT code information is copyright by the AMA.

The other two are Category I codes for fitting contact lenses92071 for treatment of ocular surface disease and 92072 for management of keratoconus. The text and sub-text language for the 92072 code reads. Alingment Fluorescein Pattern The ideal RGP lens should show alignment of the back surface of the lens with the cornea over most of the surface.

Prescription of optical and physical characteristics of and fitting of contact lenses with medical supervision of adaptation. Two of these are Category III codes for femtosecond laserassisted keratoplasty. There is significant exchange of oxygen undemeath the RGP during blink.

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

Billing Vision Insurance For Medically Necessary Contact Lenses Manualzz