I work for an optometrist and we bill 92310. Our office policy for contacts includes 3 visits. The 1st one is with the Optometrist for the fitting of the contact lens. The 2nd visit is a training session, where the pt comes in & is given the prescription contacts & the Optometrist Tech trains the pt on how to put the contacts in, how to remove them & proper care & handling of the lenses. The pt is sent home with a 'trial' pair. The pt then returns in a wk & if they are happy with the lenses, the final prescription is written. Alot of insurances will not pay for the dispensing fee. And the pts we are usually fitting are seen for 'routine' diags such as myopia, presbyopia, astigmatism and are usually pts who want the option of having glasses & contacts. There are other codes for fitting in relation to medical eye conditions but usually for such fittings & materials the insurance company requires a prior authorization to be done by the Optometrist...for example, for keratoconus.
We also use CPT 92070 (Fitting of contact lens for treatment of disease, including supply of lens) but this CPT is related to injury codes...such as the pt has a foreign body removal & the optometrist inserts a contact lens as a 'bandage' & will usually remove the lens the following day. This code isnt appropriate for use of prescription lenses relating to a medical condition such as keratoconus. I hope this helps.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join