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The CPT® Code 92340 refers to the fitting of spectacles, specifically for monofocal lenses, and is applicable in cases where the patient does not have aphakia. Aphakia is a condition characterized by the absence of the lens of the eye, typically due to surgical removal or congenital absence. The procedure begins after a separate eye examination has been conducted, which determines the need for corrective lenses due to various visual impairments. During the fitting process, an eyeglass technician plays a crucial role in assessing the patient's anatomical facial characteristics to ensure the proper selection and fitting of the eyeglass frame. This includes measuring the distance between the pupils and other relevant facial dimensions to ensure that the lenses will be manufactured to the correct specifications. Once the measurements are taken, they are sent to a laboratory where the lenses are crafted and inserted into the chosen frame. After the lenses are ready, the patient returns for a fitting session, where the technician evaluates the fit of the eyeglasses, making necessary adjustments to the bridge, nose pads, and temple arms to ensure comfort and proper alignment. This meticulous process is essential for achieving optimal visual correction and comfort for the patient.
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The fitting of spectacles using CPT® Code 92340 is indicated for patients requiring corrective lenses for conditions other than aphakia. This procedure is typically performed following a comprehensive eye examination that identifies the need for visual correction due to refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), or astigmatism. The fitting is essential for ensuring that the spectacles provide the necessary visual acuity and comfort for the patient.
The procedure for fitting spectacles involves several key steps that ensure the eyeglasses are tailored to the patient's specific needs.
After the fitting procedure is completed, the patient is advised on the proper care and maintenance of their new eyeglasses. It is important for the patient to return for follow-up appointments if they experience any discomfort or if adjustments are needed after wearing the glasses for a period of time. The technician may provide guidance on how to clean the lenses and store the eyeglasses properly to ensure longevity and optimal performance. Additionally, patients should be informed about the importance of regular eye examinations to monitor their vision and make any necessary updates to their prescription.
| Short Descr | FIT SPECTACLES MONOFOCAL | Medium Descr | FITTING SPECTACLES XCPT APHAKIA MONOFOCAL | Long Descr | Fitting of spectacles, except for aphakia; monofocal | Status Code | Non-Covered Service | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | Q - Vision Items or Services | Berenson-Eggers TOS (BETOS) | M5C - Specialist - ophthalmology | MUE | 0 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| 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 | 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. | GA | Waiver of liability statement issued as required by payer policy, individual case | RA | Replacement of a dme, orthotic or prosthetic item | RT | Right side (used to identify procedures performed on the right side of the body) | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | E1 | Upper left, eyelid | E3 | Upper right, eyelid | GC | This service has been performed in part by a resident under the direction of a teaching physician | GT | Via interactive audio and video telecommunication systems | GW | Service not related to the hospice patient's terminal condition | GX | Notice of liability issued, voluntary under payer policy | GZ | Item or service expected to be denied as not reasonable and necessary | LT | Left side (used to identify procedures performed on the left side of the body) | U4 | Medicaid level of care 4, as defined by each state | U5 | Medicaid level of care 5, as defined by each state | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| Pre-1990 | Added | Code added. |
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