CPT Code 92071: Contact Lens Fitting for Treatment of Ocular Surface Disease
Fitting of contact lens for treatment of ocular surface disease
CPT 92071 reports fitting of a therapeutic contact lens (bandage lens) for treatment of ocular surface disease such as corneal abrasion, recurrent corneal erosion, bullous keratopathy, or post-surgical management. This is a medical service, not a refractive fitting.
When to use CPT 92071
Use when a bandage or therapeutic contact lens is fitted for a medical condition. Not for routine refractive contact lens fitting (use 92310 for that).
Documentation requirements
- Medical diagnosis requiring therapeutic lens
- Fitting details documented
- Lens parameters and material
- Follow-up plan
Reimbursement
$50 to $90 per eye
National averages only. Rates vary by locality, payer, and fee schedule. Verify with your contracted payers.
Common modifiers
- -RT or -LT (unilateral fitting)
- -50 (bilateral)
- -25
Common denial reasons for CPT 92071
- Coded instead of refractive fitting 92310
- Missing medical diagnosis
- Bundled with other procedure
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