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The CPT® Code 92315 refers to the prescription of optical and physical characteristics of a contact lens specifically designed for the treatment of aphakia in one eye. Aphakia is a condition where the eye's natural lens is absent, often due to cataract surgery or congenital issues. In this procedure, the medical provider evaluates the patient's vision needs and selects the most suitable contact lens options. This selection process involves a thorough discussion of the various types of contact lenses available, including their advantages and disadvantages. The provider specifies critical characteristics of the chosen lenses, such as their optical power, size, curvature, flexibility (whether they are hard or soft), and gas-permeability. Once the lenses are selected, the provider inserts them into the patient's eye and checks the fit to ensure optimal visual acuity and comfort. If necessary, adjustments are made to enhance the fit and performance of the lenses. Following this, an independent technician takes over to assist the patient in learning how to properly insert and remove the lenses. The technician provides guidance and support as the patient practices these skills. Additionally, the patient may be given trial lenses from various manufacturers to determine which lenses best meet their individual needs. During this trial period, incidental modifications to the lenses' optical and physical characteristics may occur to further improve the patient's visual acuity and comfort. It is important to note that different codes are used for various conditions and lens types, such as code 92314 for corneal lenses for both eyes, code 92316 for bilateral aphakia, and code 92317 for corneoscleral lenses.
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The procedure associated with CPT® Code 92315 is indicated for patients who have aphakia in one eye. Aphakia may result from surgical removal of the natural lens due to cataracts or other ocular conditions. The primary goal of this procedure is to restore visual function and improve the quality of life for individuals affected by this condition.
The procedure begins with the medical provider assessing the patient's vision needs and discussing the various contact lens options available. This discussion includes the pros and cons of different types of lenses, allowing the patient to make an informed choice. Once the patient selects a lens type, the provider specifies the optical and physical characteristics required for the lens, including power, size, curvature, flexibility (hard or soft), and gas-permeability. After determining the appropriate specifications, the provider inserts the contact lens into the patient's eye and checks the fit to ensure that it provides optimal visual acuity and comfort. If adjustments are necessary, the provider makes the required changes to enhance the fit and performance of the lens.
After the procedure, the patient is expected to practice inserting and removing the contact lenses under the supervision of the independent technician. The technician will observe the patient and provide assistance as needed to ensure the patient becomes proficient in handling the lenses. It is important for the patient to follow any specific care instructions provided by the medical provider or technician to maintain the health of the eye and the integrity of the lenses. The patient may also be scheduled for follow-up appointments to monitor the fit and performance of the lenses, as well as to make any necessary adjustments based on the patient's feedback during the trial period.
| Short Descr | C-LENS FITG TECH APHAKIA 1 | Medium Descr | RX&FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE | Long Descr | Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, 1 eye | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | Q - Vision Items or Services | Berenson-Eggers TOS (BETOS) | M5C - Specialist - ophthalmology | MUE | 1 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| LT | Left side (used to identify procedures performed on the left side of the body) |
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| 2013-01-01 | Changed | Short Descriptor changed. |
| 2009-01-01 | Changed | Code description changed |
| Pre-1990 | Added | Code added. |
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