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The CPT® Code 92341 refers to the fitting of spectacles, specifically bifocal lenses, for patients who require corrective lenses due to conditions other than aphakia. Aphakia is a condition where the eye lacks a lens, typically due to surgical removal or congenital absence. The procedure begins after a separate eye examination has been conducted, during which the need for corrective lenses is established. During the fitting process, an eyeglass technician assesses the patient's facial anatomy to determine the appropriate frame size. This includes measuring the distance between the pupils and other anatomical features to ensure a proper fit. Once the measurements are taken, they are sent to a laboratory where the lenses are manufactured and inserted into the selected frame. After the lenses are ready, the patient returns for a fitting appointment. During this appointment, 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 on the patient's face. This meticulous fitting process is essential for the effective use of bifocal lenses, as it directly impacts the patient's visual experience and comfort.
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The fitting of bifocal spectacles, as described by CPT® Code 92341, is indicated for patients who require corrective lenses for visual impairments that are not related to aphakia. The following conditions may warrant the fitting of bifocal lenses:
The procedure for fitting bifocal spectacles involves several key steps to ensure that the eyeglasses are tailored to the patient's specific needs. Each step is crucial for achieving optimal comfort and visual acuity.
After the fitting of bifocal spectacles, patients are advised to wear their new glasses regularly to adapt to the bifocal lenses. It is common for patients to experience a brief adjustment period as they become accustomed to the different focal areas of the lenses. The technician may provide guidance on how to properly care for the eyeglasses and recommend follow-up appointments to ensure continued comfort and effectiveness. Patients should be encouraged to report any discomfort or issues with their vision to their eye care provider for further evaluation.
| Short Descr | FIT SPECTACLES BIFOCAL | Medium Descr | FITTING SPECTACLES XCPT APHAKIA BIFOCAL | Long Descr | Fitting of spectacles, except for aphakia; bifocal | 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 | GX | Notice of liability issued, voluntary under payer policy | RT | Right side (used to identify procedures performed on the right side of the body) | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 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). | 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. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | E1 | Upper left, eyelid | E2 | Lower left, eyelid | GA | Waiver of liability statement issued as required by payer policy, individual case | GT | Via interactive audio and video telecommunication systems | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | 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) | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | 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 | RA | Replacement of a dme, orthotic or prosthetic item | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair | U4 | Medicaid level of care 4, as defined by each state | U6 | Medicaid level of care 6, as defined by each state | UA | Medicaid level of care 10, as defined by each state | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 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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