New codes 92071 and 92072 carry the load for lens prescriptions for keratoconus and OSD . Although you can't bill Medicare for regular refractive lenses, savvy
ophthalmology coders know that you can expect reimbursement for contact lens prescriptions to treat keratoconus (ICD-9 codes 371.60-371.62) and ocular surface disorders (OSDs) like corneal abrasions and dry eye. However, what coders currently know is changing in 2012, with the deletion of one familiar CPT® code and the introduction of two new ones. 92070 no more: The CPT® 2012 manual deletes the ophthalmology coder's standby for therapeutic contact lenses, 92070 (Fitting of contact lens for treatment of disease, including supply of lens). In its place, you'll find two new codes: 92071 (Fitting of contact lens for treatment of ocular surface disease) 92072 (Fitting of contact lens for management of keratoconus, initial fitting). Notes in the CPT® manual warn you against reporting [...]