Ophthalmology and Optometry Coding Alert

READER QUESTIONS :

Specify Tech vs. PhysicianWith Lens Codes

Question: My ophthalmologist sees routine patients for services such as contact lens fittings. Whats the difference between the 92310-92313 series of procedure codes and the 92314-92317 series? When should I choose a code from one series over the other? New York Subscriber Answer: CPT codes 92310-92313 (Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation ...) describe fitting of contact lenses by an ophthalmologist or other qualified physician. Codes 92314-92317 (Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician ...) describe fittings done by an independent technician in the ophthalmologists office. Bill 92310-92313 only if the ophthalmologist or another physician in your office -- not an independent technician -- is doing the contact lens fitting as well as supervising the adaptation. Keep in mind that Medicare will not reimburse for 92310 or [...]
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