CPT 92071Contact 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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Worked example: billing CPT 92071
A patient with recurrent corneal erosion in the right eye (H18.831) after a fingernail abrasion is fitted with a bandage soft contact lens to protect the healing epithelium, with a 48-hour follow-up scheduled. Bill 92071 to the medical carrier with H18.831 as the primary diagnosis, adding -RT where the payer requires laterality. The fitting is the professional service; the lens itself is a supply. Do not report 92310, which is the refractive contact-lens fitting code.
ICD-10 codes commonly paired with CPT 92071
Validated against the FY2026 ICD-10-CM set. Pick the most specific diagnosis the chart supports; payers deny exam codes billed with a diagnosis that does not establish medical necessity.
| ICD-10-CM | Description |
|---|---|
| H18.831 | Recurrent erosion of cornea, right eye |
| S05.01XA | Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter |
| H16.011 | Central corneal ulcer, right eye |
| H18.11 | Bullous keratopathy, right eye |
| H16.101 | Unspecified superficial keratitis, right eye |