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The procedure described by CPT® Code 92370 pertains to the repair and refitting of spectacles, specifically excluding cases involving aphakia. Aphakia refers to the absence of the lens of the eye, typically following cataract surgery. In this context, the repair and refitting process addresses issues with existing spectacles that may have been damaged or are not fitting the patient properly. This can include a variety of adjustments and repairs, such as replacing worn or broken components like nose pads, hinges, rims, bridges, temples, or temple arms. The goal of this procedure is to restore the functionality and comfort of the spectacles, ensuring that they sit correctly on the patient's face. After making the necessary repairs, the technician will perform adjustments to ensure that the frame is level and that the nose pads and temple arms are positioned for optimal fit and comfort. It is important to report CPT® Code 92370 for these types of repairs, while CPT® Code 92371 should be used for similar procedures involving spectacle prosthetic lenses for patients with aphakia.
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The procedure associated with CPT® Code 92370 is indicated for patients who have existing spectacles that require repair or refitting due to various issues. These indications may include:
The procedure for repairing and refitting spectacles involves several key steps, which are detailed as follows:
Post-procedure care for patients who have undergone the repair and refitting of spectacles typically involves ensuring that the patient is satisfied with the fit and function of their eyewear. Patients may be advised to wear the spectacles for a short period to assess comfort and make any additional adjustments if necessary. It is also important for patients to be informed about the care and maintenance of their spectacles to prolong their lifespan and functionality. Regular check-ups may be recommended to monitor the condition of the spectacles and address any future issues that may arise.
| Short Descr | RPR&REFITG SPECT XCP APHAKIA | Medium Descr | REPAIR&REFITTING SPECTACLES EXCEPT FOR APHAKIA | Long Descr | Repair and refitting spectacles; except for aphakia | 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) | P6D - Minor procedures - other (non-Medicare fee schedule) | 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 | 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. | 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. | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | U8 | Medicaid level of care 8, as defined by each state |
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| Pre-1990 | Added | Code added. |
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