CPT 92310Prescription 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
Use the current payer fee schedule for this code, locality, service setting and date of service.
Rates and patient responsibility depend on the payer and service. No unsourced national average is presented here.
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)
Verify CPT 92310 against official sources
Use the code set and payer policy applicable to the date of service. This educational reference is not a coverage decision or a substitute for a qualified coding review.
- CMS Physician Fee Schedule: select the year, locality and service setting before looking up payment information.
- CMS NCCI edits and manuals: check the applicable code-pair edits and modifier instructions.
- Medicare Coverage Database: find relevant coverage and documentation policies.
- AMA CPT resources: consult the current licensed code set.
A practical documentation check
- Match the documented service to the code definition.
- Confirm patient status, laterality, components and any required interpretation.
- Check coverage, edits and payer-specific requirements.
- Have the responsible clinician or billing reviewer resolve discrepancies before submission.
Editorial sources updated September 15, 2026. Published by Jelo.
Jelo’s AI scribe is an upcoming add-on from $70/month. It is being developed to assist with documentation and code suggestions; clinicians and billing staff must verify every code. It is not included in the live platform subscription.
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