AMA CPT® Assistant - 2017 Issue 9 (September)

Medicine: Ophthalmology (Q&A) (September 2017)

September 2017 page 15 Medicine: Ophthalmology Question: At what point after the initial fitting of a keratoconus lens (92072) is a new lens (not a replacement) billable with code 92072 due to the fact that the lens no longer fits the patient’s need? Answer: Code 92072, Fitting of contact lens for management of keratoconus, initial fitting, is reported for initial fittings only. The description of work for initial fittings includes the results of diagnostic tests done prior to contact lens fitting to assess the corneal ectasia, which and are used in concert with slit lamp examination to assess corneal...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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