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The CPT® Code 92326 refers to the procedure of replacing a contact lens. This procedure is typically performed when a contact lens is either damaged or lost, or when the patient experiences issues related to the fit, comfort, or vision provided by the current lens. In cases of damage or loss, the healthcare provider will assess the optical and physical characteristics of the lens to ensure that the replacement meets the necessary specifications. This involves verifying the prescription details to provide an accurate replacement. When the replacement is necessitated by problems such as poor fit, discomfort, or vision issues, the provider will evaluate the patient's needs to determine the appropriate adjustments. This may involve selecting a different brand or type of contact lens that better suits the patient's requirements. Following this assessment, a new prescription is issued to the patient. In some instances, the provider may offer a trial supply of the newly recommended lens to allow the patient to test its effectiveness in resolving the issues previously encountered with the old lens. This process ensures that the patient receives a contact lens that enhances their visual experience and overall comfort.
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The procedure associated with CPT® Code 92326 is indicated in the following scenarios:
The procedure for replacing a contact lens involves several key steps that ensure the patient receives an appropriate replacement lens tailored to their needs.
After the replacement of the contact lens, the patient is typically advised to monitor their comfort and vision with the new lens. Follow-up appointments may be scheduled to assess the effectiveness of the new lens and to make any further adjustments if necessary. Patients should be instructed to report any ongoing discomfort or vision problems to their provider promptly. Additionally, proper care and handling instructions for the new contact lens should be provided to ensure optimal performance and eye health.
| Short Descr | REPLACEMENT OF CONTACT LENS | Medium Descr | REPLACEMENT OF CONTACT LENS | Long Descr | Replacement of contact lens | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 5 - Incident To 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 | 2 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | GA | Waiver of liability statement issued as required by payer policy, individual case | 24 | Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period: the physician or other qualified health care professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. this circumstance may be reported by adding modifier 24 to the appropriate level of e/m service. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GW | Service not related to the hospice patient's terminal condition | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area |
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| 2024-01-01 | Changed | Medium Description changed. |
| Pre-1990 | Added | Code added. |
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