CPT^® 92313, Under Contact Lens Services

The Current Procedural Terminology (CPT^®) code 92313 as maintained by American Medical Association, is a medical procedural code under the range - Contact Lens Services.

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Summary

The provider prescribes contact lenses to include their optical properties, those that improve the patient’s vision, and their size and shape that contribute to their proper fit in the eyes. He provides instruction to the patient on adapting to the new lenses.

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Have a question about CPT Code 92313 ? Start a discussion here

Scleral Contact Lens Fitting in Keratoconus patient

Basically, 92072 applies to the doctor actually fitting the lenses while the 92313 applies to the doctor supervising the fitting by a technician. Tom Cheezum, OD, CPC, COPC... [ Read More ]

Scleral Contact Lens Fitting in Keratoconus patient

Which code (92072 or 92313) do you use for the scleral contact lens fitting in a Keratoconus patient? We have had different opinions and are confused which one we should be using.... [ Read More ]

Keratoconus patients

Can someone advise which is the more appropriate code to use when billing keratoconus patients fit Scleral lenses 92072 (bilateral) or 92313 (with RT and LT modifiers) Thank you... [ Read More ]

Mncl fit cpt codes

Hi I have a question If a patient has keratoconus and has a contact lens fit we use cpt 92072 , however is they still have keratoconus and get a scleral lens what is the appropriate cpt fit code. R... [ Read More ]

Medically Necessary Contact Fit and Materials

If you Google "billing for medically necessary contact lenses" you should find a recent article by Dr. Rumpakis on this subject. It's pretty comprehensive and should give you a way to increase your re... [ Read More ]

Medically Necessary Contact Fit and Materials coding advice needed contacts medical necessity optometry reimbursements

Trying to figure out the best way to bill and receive reimbursement for scleral contact lenses. My doctor wants to use 92313 with H18.59 diagnosis, but Medicare allowable reimbursment is only $90.71. ... [ Read More ]

mEDICALLY NECESSARY CONTACTS CPT 92313

I code ophthalmology as well, but have never had to code this procedure. But my sources show that 92313 takes laterality modifiers. I would use them.... [ Read More ]

mEDICALLY NECESSARY CONTACTS CPT 92313

Hi, has anyone billed out CPT 92313? IF so do you bill it LT AND RT. I think it should be on one line with no modifiers, but others are saying different. Can someone give me some input on this cpt... [ Read More ]

aapc vs encoder pro quetion

Hi everyone I have a question, cpt 92310 and/or 92313 according to AAPC coder it indicates that this is a bilateral code and according to Encoder Pro, it is not . I am a little confused why would ... [ Read More ]

billing of hybrid lenses for keratoconus

CPT code 92072 is for keratoconus contact lens fit (we bill it using RT and/or LT modifier(s), according to whatever is done) We use CPT code 92313 for scleral contact lens fit (ie, Jupiter lens, etc... [ Read More ]

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