Wiki 92310 and medicare

[dalanicks@aol.com]

hi i have a question, medicare patient comes in and has a contact lens fitting, i know they dont pay for that cpt code, how do other offices bill it out? do they use an e/m code instead? any information would help

thank you

 

[Cheezum51]

Unless the CL fitting is for something like keratoconus or S/P penetrating keratoplasty, it would most likely be considered cosmetic, which isn't covered my Medicare. Therefore, the patient would be responsible for paying out of pocket for the CL fitting fees.

Tom Cheezum, O.D., CPC, COPC