This section provides information about commonly used modifiers for Vision Care providers. For a complete list of modifiers, refer to the Modifiers: Approved List section in this manual. …
CPT Code 92326: What It Is, Modifiers, Reimbursement - MD Clarity
CPT code 92326 is designated for the replacement of a contact lens when performed by a healthcare provider. This code is used specifically when the replacement is necessary due to a …
Modifier RA is used to indicate replacement of ophthalmic lenses. Note: When both modifiers NU and RA are required for a service, providers should use a separate claim line for each …
Modifier RA is billed to indicate that the optometrist is replacing the lenses for the recipient. Enter “2” in the Days or Units field (Box 24G) to indicate that two bifocal lenses are being dispensed.
How to Use the New Contact Lens Codes and the New Femto …
Mar 1, 2012 · Prominent among this year’s changes to the Current Procedural Terminology (CPT) are four new codes for ophthalmology. Two of these are Category III codes for femtosecond …
The fitting of a contact lens includes instruction and training of the wearer and incidental revision of the lens during the training period. The supply of contact lenses may be reported as part of …
IN ORDER TO PROCESS EACH BENEFIT PROPERLY, ALL FRAME, LENS AND OPTION CPT CODES MUST BE SUBMITTED WITH A MODIFIER ASSIGNED. When a modifier is required, …
It is the policy of health plans affiliated with Envolve Vision, Inc.® (Envolve) that bandage contact lenses are medically necessary for any of the following indications: Dry eye resistant to more …
Simplify Your Specialized Coding - reviewofcontactlenses.com
Apr 15, 2014 · If done bilaterally, use modifier -50, change your units to two and double your price to indicate it was performed on both eyes. • 92326: Replacement of contact lens. This covers …
Member Vision Benefits
Jan 7, 2025 · Value added benefit claims for hardware, contact lenses, fitting and/or dispense must be submitted with the XU modifier on each service line that is intended to be paid under …