CPT code 92071 is used when a prescriptive or nonprescriptive contact lens is fitted for therapeutic purposes to treat a diseased or injured eye.
CPT Description
92071 Fitting of contact lens for treatment of ocular surface disease.
Indication
A soft contact lens is placed on the cornea to protect a damaged eye or help heal a corneal ulcer or other damage.
Payment. Payment is unilateral, or per eye, when medically indicated. The national average payment is $27 if the fitting is done in an office; $24 if it is done in a facility.
National Correct Coding Initiative (CCI) edits.
Do not report 92071 in conjunction with 92072 or with 99211, which is the technician code.
Modifiers. Submit 92071 with modifiers –RT, –LT or –50
Diagnosis codes.
351.0 Bell’s palsy
370.00 Corneal ulcer, unspecified
370.06 Perforated corneal ulcer
370.07 Mooren’s ulcer
370.23 Filamentary keratitis
370.33 Keratoconjunctivitis sicca
370.34 Exposure keratoconjunctivitis
371.42 Recurrent erosion of cornea
374.00 Entropion, unspecified
374.10 Ectropion, unspecified
710.2 Sicca syndrome, Keratoconjunctivitis sicca, Sjögren’s
918.1 Superficial injury of cornea
930.0 Corneal foreign body.
Report supply of the lens separately.
You can use the following codes:
• 99070 Supplies and materials,
• 92326Replacement of contact lens, or
• V2599Contact lens, other type.
CPT Description
92071 Fitting of contact lens for treatment of ocular surface disease.
Indication
A soft contact lens is placed on the cornea to protect a damaged eye or help heal a corneal ulcer or other damage.
Payment. Payment is unilateral, or per eye, when medically indicated. The national average payment is $27 if the fitting is done in an office; $24 if it is done in a facility.
National Correct Coding Initiative (CCI) edits.
Do not report 92071 in conjunction with 92072 or with 99211, which is the technician code.
Modifiers. Submit 92071 with modifiers –RT, –LT or –50
Diagnosis codes.
351.0 Bell’s palsy
370.00 Corneal ulcer, unspecified
370.06 Perforated corneal ulcer
370.07 Mooren’s ulcer
370.23 Filamentary keratitis
370.33 Keratoconjunctivitis sicca
370.34 Exposure keratoconjunctivitis
371.42 Recurrent erosion of cornea
374.00 Entropion, unspecified
374.10 Ectropion, unspecified
710.2 Sicca syndrome, Keratoconjunctivitis sicca, Sjögren’s
918.1 Superficial injury of cornea
930.0 Corneal foreign body.
Report supply of the lens separately.
You can use the following codes:
• 99070 Supplies and materials,
• 92326Replacement of contact lens, or
• V2599Contact lens, other type.
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