CPT® Code 92313

Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens

The CPT® Code 92313 refers to the prescription and fitting of corneoscleral contact lenses, which are specialized lenses designed to cover both the cornea and a portion of the sclera (the white part of the eye). This procedure involves a comprehensive assessment of the patient's vision needs, where the medical provider evaluates various contact lens options tailored to the individual's requirements. The provider discusses the advantages and disadvantages of different types of contact lenses, ensuring that the patient is well-informed about their choices. The optical and physical characteristics of the selected lenses are specified, including important factors such as lens power, size, curvature, flexibility (whether the lens is hard or soft), and gas-permeability, which affects the lens's ability to allow oxygen to reach the eye. During the fitting process, the provider inserts the chosen lenses and checks their fit to ensure optimal visual acuity and comfort. If necessary, adjustments are made to enhance the patient's experience. The patient receives instructions on how to properly insert and remove the lenses, and they practice this under the provider's supervision to ensure proficiency. Additionally, the patient may be provided with sample lenses from various manufacturers to trial, allowing them to determine which lenses best suit their needs. Throughout this trial period, incidental revisions to the lenses' optical and physical characteristics may occur to further improve visual acuity or comfort. All of these services are conducted by the medical provider, ensuring a thorough and personalized approach to contact lens fitting.