contact lens fitting cpt code

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. Last months column highlighted the differences between two CPT codes for contact lens fitting.

Diploma In Advanced Contact Lens Fitting Saera

Corneal Lens Both Eyes Except for Aphakia.

. You cannot separately bill for it. 92314 - CPT Code in category. The codes for aphakic contact lens fits are either 92311 for one eye or 92312 for both eyes.

We submit CPT codes 99213 -25 65435 RT Removal of corneal epithelium and 92071 RT Bandage contact lens fitting for these services. 92310 - CPT Code in category. Instead call Superior Vision Customer Service at 8005073800 and we will be glad to help you.

Prescription of optical and physical characteristics of and fitting of contact lenses with medical supervision of adaptation. According to the CPT For subsequent fittings report using evaluation and. 6 rows In addition to the basic eye examination a contact lens fitting is reimbursable with CPT.

Code Procedure 92310 Standard Contact Lens Fit and Follow-Up 92310-21 Established Comprehensive 92310-22 Standard Daily Wear Fit. Use this code when you are fitting soft contact lenses or corneal GP lenses unless the patient has aphakia. In addition to the basic eye examination a contact lens fitting is reimbursable with CPT codes 92071 92072 and 92310 thru 92312 for recipients with medically necessary conditions.

500 for 92310 250 for V2511-RT and 250 for V2511-LT. 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. Here they are with their corresponding CPT definitions.

Lenses Code Procedure V2100 V2118 V2410 V2410-22 Single Vision Lens V2200 V2220 V2299 V2430 V2430-22 Bifocal Lens. These are the bread-and-butter codes used for routine contact lens services. 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.

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. Computerized corneal topography unilateral or bilateral with interpretation and report. These are the bread-and-butter codes used for routine contact lens services.

Prescription of optical and physical characteristics of contact lens with medical supervision of adaptation and direction of fitting by independent technician CPT Code information is available to subscribers and includes the CPT code number short description long description guidelines and more. For a traditional contact lens fit this code correlates with a prescription of optical and physical characteristics of and fitting of a contact lens with medical supervision of adaptation. V2511-RT and V2511-LT contact lens GP toric per lens Usual and customary rate.

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. 92317 - CPT Code in category. 92310 Contact lens fitting for corneal lenses both eyes except for aphakia.

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. Two of these are Category III codes for femtosecond laserassisted keratoplasty. Please do not use the Fax Back option for a contact lens benefit authorization.

Use this when the purpose of the lens is. Fitting of a contact lens for management of keratoconus initial fitting. According to CCI edits that took effect April 1 2013 CMS bundles the fitting of the bandage lens into the surgery.

Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation. This code is used for the fitting of a contact lens for the management of keratoconus. The other two are Category I codes for fitting contact lenses92071 for treatment of ocular surface disease and 92072 for management of keratoconus.

Medicare keeps paying the exam and procedure only. The procedure code of choice for disease treatment is 92070. Code 92025 is defined as unilateral or bilateral so reimbursement is the same whether one or both eyes are tested.

For prescription and fitting of one eye add modifier -52. To this end the fitting codes used for post-surgical cases are 92310-12 and 92070. Current Procedural Terminology CPT 92310.

CPT defines these as. Here is a list of the applicable CPT codes and definitions for contact lens fitting. Here well expand on that topic.

The codes are published annually by the American Medical Association. Comprehensive contact lens evaluation. Corneal lens both eyes except for aphakia A 92310 should be charged for the fitting of contact.

Prominent among this years changes to the Current Procedural Terminology CPT are four new codes for ophthalmology. Billing for bandage contact lenses is handled separately. Corneal Lens Both Eyes Except for Aphakia V codes.

Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of. 92310 Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens with Medical Supervision of Adaptation. CPT Code information is available to subscribers and includes the CPT code number short description long description guidelines and more.

92071Fitting of Contact Lens for Treatment of Ocular. Contact Lens Fits Part Two Continuing the review of CPT codes 92070 and 92310. 26 rows 92326Replacement of Contact Lens.

Corneal lens both eyes except for aphakia.

Keratoconus Coding The Battle Of The Bulge