CPT® Code 92070

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1. Indications

The fitting of contact lenses for the treatment of disease, as described by CPT® Code 92070, is indicated for several specific ocular conditions. These include:

• Corneal Abrasions - These are scratches on the surface of the cornea that can cause pain and discomfort.
• Keratitis - This refers to inflammation of the cornea, which can lead to redness, pain, and vision issues.
• Corneal Ulcers - These are open sores on the cornea that can result from infection or injury, requiring prompt treatment.
• Bullous Keratopathy - A condition characterized by the formation of blisters on the cornea, often leading to pain and vision problems.
• Recurrent Corneal Erosion - This condition involves repeated episodes of corneal surface breakdown, causing significant discomfort and potential vision impairment.

2. Procedure

The procedure for fitting contact lenses for the treatment of disease involves several critical steps to ensure the lenses are appropriate for the patient's condition. Each step is essential for achieving the desired therapeutic outcomes.

• Step 1: Assessment of Corneal Condition - The initial step involves a thorough examination of the cornea to evaluate the type and extent of the corneal wound. This assessment includes checking for any abrasions, ulcers, or other abnormalities, as well as gauging the patient's pain level to determine the urgency and type of treatment required.
• Step 2: Selection of Contact Lens - Based on the assessment, the appropriate type of contact lens is selected. Bandage soft contact lenses (BSCL) are typically chosen for their ability to provide comfort and promote healing. The lens material, whether hydrogel or silicone hydrogel, is selected to ensure optimal oxygen transmissibility and moisture retention.
• Step 3: Fitting the Lens - The selected lens is then fitted onto the patient's eye. This involves placing the lens on the cornea and ensuring it covers the entire area of the corneal injury. The fit is adjusted to achieve proper centering and minimal movement during blinking, which is crucial for both comfort and therapeutic effectiveness.
• Step 4: Instruction and Training - After fitting the lens, the patient receives detailed instructions on how to wear and care for the contact lenses. This training includes guidance on insertion, removal, cleaning, and handling of the lenses to prevent complications and ensure successful treatment.
• Step 5: Follow-Up Care - The procedure may also include scheduling follow-up appointments to monitor the healing process and make any necessary adjustments to the lens fit or treatment plan. Additional topical antibiotics and oral analgesics may be prescribed as needed to support healing and manage pain.

3. Post-Procedure

Post-procedure care following the fitting of contact lenses for the treatment of disease is crucial for ensuring optimal healing and comfort. Patients are advised to follow the care instructions provided during the fitting, which include proper hygiene practices for lens handling and wearing schedules. It is important for patients to monitor their symptoms and report any signs of increased pain, redness, or discharge to their healthcare provider promptly. Follow-up appointments are essential to assess the healing of the cornea and to make any necessary adjustments to the lens fit or treatment regimen. The expected recovery time may vary depending on the severity of the corneal condition being treated, and ongoing evaluation will help determine the effectiveness of the contact lens therapy.