CPT® Code 92317

1. Indications

The procedure associated with CPT® Code 92317 is indicated for patients requiring specialized contact lenses to address specific vision needs. The following conditions may warrant the prescription of corneoscleral lenses:

• Corneal irregularities Patients with irregularities in the cornea that affect vision may benefit from corneoscleral lenses, which provide a smooth optical surface for improved visual acuity.
• Severe dry eye syndrome Individuals suffering from severe dry eye may find relief with corneoscleral lenses, as these lenses can help retain moisture and protect the ocular surface.
• Post-surgical conditions Patients who have undergone eye surgeries, such as corneal transplants or cataract surgery, may require corneoscleral lenses for optimal vision correction and comfort.
• High refractive errors Those with significant refractive errors, such as high myopia or hyperopia, may be candidates for corneoscleral lenses, which can provide better vision correction than standard lenses.

2. Procedure

The procedure for prescribing corneoscleral lenses involves several key steps to ensure proper fitting and adaptation. Each step is crucial for achieving the best possible outcome for the patient.

• Step 1: Patient Assessment The process begins with a thorough assessment of the patient's vision needs by the medical provider. This includes evaluating the patient's ocular health, visual acuity, and any specific conditions that may influence lens selection.
• Step 2: Lens Selection Based on the assessment, the provider discusses various contact lens options with the patient, outlining the pros and cons of each type. The provider then specifies the optical and physical characteristics of the selected corneoscleral lenses, including power, size, curvature, flexibility, and gas-permeability.
• Step 3: Initial Fitting The provider inserts the selected lenses into the patient's eyes and checks the fit to ensure optimal visual acuity and comfort. Adjustments may be made at this stage to enhance the fit and performance of the lenses.
• Step 4: Technician Involvement An independent technician assists the patient in learning how to insert and remove the lenses. The technician provides guidance and supervision as the patient practices these skills, ensuring they feel comfortable and confident.
• Step 5: Trial Period Patients may be given trial lenses from different manufacturers to evaluate which lenses best meet their needs. During this period, incidental revisions to the lenses' optical and physical characteristics may be made to improve visual acuity or comfort.

3. Post-Procedure

After the fitting and adaptation process, patients are typically advised on post-procedure care, which may include instructions on lens hygiene, proper storage, and wearing schedules. Follow-up appointments may be scheduled to monitor the patient's adaptation to the lenses and to make any necessary adjustments. It is essential for patients to report any discomfort or vision changes during the trial period, as this feedback is crucial for optimizing lens performance and ensuring patient satisfaction.