How To Use CPT Code 92325

CPT 92325 describes the modification of contact lenses with medical supervision of adaptation. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92325?

CPT 92325 can be used to describe the modification of contact lenses by a healthcare provider, with the supervision of the patient’s adaptation to these changes. This code is used when the provider makes alterations to the contact lenses, such as reducing the overall diameter, changing the optical zone diameter, flattening the peripheral curve, polishing the edges, or adjusting the strength or power of the lens. The provider also explains to the patient the necessity of these modifications made to the contact lens.

2. Official Description

The official description of CPT code 92325 is: ‘Modification of contact lens (separate procedure), with medical supervision of adaptation.’

3. Procedure

1. The healthcare provider assesses the patient’s contact lenses and determines the need for modifications.
2. The provider makes changes to the contact lenses, such as reducing the overall diameter, changing the optical zone diameter, flattening the peripheral curve, polishing the edges, or adjusting the strength or power of the lens.
3. The provider explains to the patient the necessity of these modifications and provides supervision during the patient’s adaptation to the changes.

4. Qualifying circumstances

Patients eligible to receive CPT 92325 services are those who require modifications to their contact lenses. The provider must supervise the patient’s adaptation to these changes. The modifications may include reducing the overall diameter, changing the optical zone diameter, flattening the peripheral curve, polishing the edges, or adjusting the strength or power of the lens.

5. When to use CPT code 92325

CPT code 92325 should be used when a healthcare provider makes modifications to a patient’s contact lenses and provides medical supervision during the patient’s adaptation to these changes. This code should be used for each separate procedure performed on the contact lenses.

6. Documentation requirements

To support a claim for CPT 92325, the healthcare provider must document the following information:

• Patient’s need for modifications to the contact lenses
• Specific modifications made to the contact lenses, such as changes in diameter, optical zone, peripheral curve, edges, or strength/power
• Date of the procedure
• Supervision provided during the patient’s adaptation to the changes
• Explanation given to the patient regarding the necessity of the modifications
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 92325, ensure that the healthcare provider performs the modification of the contact lenses and provides medical supervision during the patient’s adaptation to the changes. There are no specific guidelines regarding reporting CPT 92325 with other codes. However, it is important to accurately document the services provided to support the claim.

8. Historical information

CPT 92325 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider modifies the contact lenses of a patient with astigmatism, adjusting the optical zone diameter and flattening the peripheral curve to improve vision.
2. A provider makes changes to the contact lenses of a patient with presbyopia, adjusting the strength or power of the lens to address near and far vision.
3. A healthcare professional modifies the contact lenses of a patient with dry eyes, reducing the overall diameter and polishing the edges to improve comfort.
4. A provider adjusts the contact lenses of a patient with corneal irregularities, changing the optical zone diameter and adjusting the strength or power of the lens to improve vision.
5. A healthcare provider modifies the contact lenses of a patient with post-cataract surgery, adjusting the optical zone diameter and flattening the peripheral curve to address refractive errors.
6. A provider makes changes to the contact lenses of a patient with myopia, adjusting the strength or power of the lens to correct nearsightedness.
7. A healthcare professional modifies the contact lenses of a patient with hyperopia, adjusting the strength or power of the lens to correct farsightedness.
8. A provider adjusts the contact lenses of a patient with irregular corneas, changing the optical zone diameter and adjusting the strength or power of the lens to improve vision.
9. A healthcare provider modifies the contact lenses of a patient with corneal scarring, reducing the overall diameter and polishing the edges to improve comfort and vision.
10. A provider makes changes to the contact lenses of a patient with astigmatism and presbyopia, adjusting the optical zone diameter, flattening the peripheral curve, and changing the strength or power of the lens to address both conditions.