contact lens fitting cpt code

Please keep in mind that this is per eye. Use this code when you are fitting soft contact lenses or corneal GP lenses unless the patient has aphakia.

Keratoconus Coding The Battle Of The Bulge

CPT code 92314 Prescription of optical and physical characteristics of contact lens with medical supervision of adaptation and direction of fitting by independent technician.

. Medicare keeps paying the exam and procedure only. The Current Procedural Terminology has the code 92070. Note that the term lens in the descriptor is singular not plural which denotes a unilateral service so reimbursement is per eye.

Fitting of contact lens for treatment of ocular surface disease considered a bilateral code. 92310 Contact lens fitting for corneal lenses both eyes except for aphakia. Corneal Lens Both Eyes Except for Aphakia V codes.

It is important to keep in mind that this is a unilateral code. We submit CPT codes 99213 -25 65435 RT Removal of corneal epithelium and 92071 RT Bandage contact lens fitting for these services. 92071Fitting of Contact Lens for Treatment of Ocular.

The professional service of the fitting is identified on the claim by CPT 92071. According to CCI edits that took effect April 1 2013 CMS bundles the fitting of the bandage lens into the surgery. 6 rows In addition to the basic eye examination a contact lens fitting is reimbursable with CPT.

Employ CPT 92071 which is the code for fitting a contact lens for the treatment of OSD. Please be sure to report materials in addition to this code using either 99070 or the appropriate HCPCS Level II material code. This code is used when a prescriptive or nonprescriptive contact lens is fitted for therapeutic purposes to treat a diseased or injured eye.

Fitting of a contact lens for management of keratoconus initial fitting. Be sure to indicate the specific eye RT or LT because this code is unilateral in nature. Subscribe to Codify and get the code details in a flash.

V2511-RT and V2511-LT contact lens GP toric per lens Usual and customary rate. Request a Demo 14 Day Free Trial Buy Now. Fitting of a contact lens for management of keratoconus initial fit.

For prescription and fitting of one eye add modifier -52 to 92314 Contact Lens Solutions. CPT defines these as. Coding for this would look as such.

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. 26 rows 92326Replacement of Contact Lens. Because this is a bilateral code also report materials using either 99070 or the appropriate HCPCS Level II material code.

You cannot separately bill for it. Corneal lens both eyes except for aphakia. Here is a list of the applicable CPT codes and definitions for contact lens fitting.

What is a bandage contact lens. According to the CPT For subsequent fittings report using EM. 500 for 92310 250 for V2511-RT and 250 for V2511-LT.

A soft contact lens is placed on the cornea to protect a damaged eye or help heal a corneal ulcer or other damage. Use this code to identify the fitting each time it is performed. The codes are published annually by the American Medical Association.

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. Fitting of a contact lens for treatment of ocular surface disease. This code is used for the fitting of a contact lens for the management of keratoconus.

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. 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.

92071 Fitting of contact lens for treatment of ocular surface disease. Code 92025 is defined as unilateral or bilateral so reimbursement is the same whether one or both eyes are tested. Computerized corneal topography unilateral or bilateral with interpretation and report.

According to the CPT For subsequent fittings report using evaluation and. Fitting of contact lens for treatment of disease including supply of lens. The codes for aphakic contact lens fits are either 92311 for one eye or 92312 for both eyes.

Coding Contact Lens Fits