Hello, i am an optician in TN and i also assist with the billing. Can anyone help me with the correct way to bill insurances for different types of CL Fittings, such as Toric and MultiFocal. I know that there needs to be a modifier along with the CPT code, but I am having trouble finding the modifier. Or is there just a different CPT code that can be used. Thank you for your help.
Beth:p
It gets worse, not every iinsurance company and agency uses the same codes. Some use CPT others use V-Codes. Not to mention they will reject identical claims using the same code number.
I believe we use 92310 for all the fittings, just change the price based on the complexity. When it has to do with medical then there are other medical codes that are used and will often include the lenses and fit in one price.
CPT Codes:
92015-Refraction
92025-Corneal Topography
92070-CL fit for treatment of disease, lenses supplied
92310-CL design, fit and follow-up (Non-aphakia)
92325-CL Modification/supervision of adaptation
92326-Replacement of contact lens
Materials:
V2510-GP Spherical
V2511-GP toric
V2513-GP Extended wear
V2520-Soft spherical
V2521-Soft Toric
V2531-Soft Extended wear
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