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Therapeutic contact lens

SuperCoder Posted Tue 27th of November, 2012 11:14:57 AM

Payers are no longer accepting 92070 for "Therapeutic contact lens fitting procedure". Which code should be reported now instead?

SuperCoder Answered Tue 27th of November, 2012 11:40:11 AM

92070 no more: The CPT® 2012 manual deletes the ophthalmology coder’s standby for therapeutic contact lenses, 92070 (Fitting of contact lens for treatment of disease, including supply of lens). In its place, you’ll find two new codes:

92071 (Fitting of contact lens for treatment of ocular surface disease)
92072 (Fitting of contact lens for management of keratoconus, initial fitting)

Notes in the CPT® manual warn you against reporting 92071 with 92072. For the supply of lenses, which was included in the code prior to 2012, CPT® suggests reporting 99070 (Supplies and materials [except spectacles], provided by the physician over and above those usually included with the office visit or other services rendered [list drugs, trays, supplies, or other materials provided), or another appropriate supply code.

A note accompanying new code 92072 advises coders to report an appropriate E/M or General Ophthalmological Services (92002-92014) code for subsequent fittings of keratoconic lenses.

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