CPT Code 92310: Prescription of Contact Lenses (Other Than Aphakia)
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia
CPT 92310 reports the fitting of corneal contact lenses in both eyes for vision correction (non-aphakic). Includes prescription, fitting, and medical supervision of adaptation.
When to use CPT 92310
Use for refractive contact lens fitting of a bilateral corneal lens. Fitting includes supervision during adaptation and follow-up.
Documentation requirements
- Refraction and Rx
- Corneal measurements
- Trial lens evaluation
- Lens parameters and material
- Adaptation and follow-up plan
Reimbursement
$70 to $150 (often a vision plan benefit or patient pay)
National averages only. Rates vary by locality, payer, and fee schedule. Verify with your contracted payers.
Common modifiers
- -52 (reduced services)
Common denial reasons for CPT 92310
- Medical vs vision benefit confusion
- Aphakia case (should be 92311)
- Monocular fit (should use -52)
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