Summary & Overview
CPT 92314: Contact Lens Prescription and Fitting by Technician
CPT code 92314 covers contact lens prescription and fitting services performed by an independent technician for both eyes, excluding cases of aphakia after prior cataract surgery. This code matters nationally because it delineates technician-delivered contact lens services from clinician-provided services, affecting billing pathways, scope-of-practice considerations, and payer coverage policies across commercial and public plans. Key payers in the national landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn how 92314 is defined clinically and operationally, which payers commonly cover technician-performed fittings, and what benchmarks and policy considerations typically accompany this service line. The publication summarizes common modifiers used with the code where available, typical sites of service, and the clinical context distinguishing technician fittings from clinician fittings. If specific payer policy details or ICD-10 mappings are not provided in the input, the summary notes that those items are not available and focuses on the available description, service type, and typical settings relevant to billing and compliance for vision care providers and billing staff.
Billing Code Overview
CPT code 92314 describes a contact lens prescription and fitting service performed by an independent technician for both eyes. The technician completes all components of contact lens evaluation and fitting except when the patient is aphakic (absence of the lens of the eye) after prior cataract surgery.
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Service type: Contact lens prescription and fitting performed by an independent technician
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Typical site of service: Outpatient ophthalmic clinic, optical dispensary, or vision services department where technician-led contact lens fitting is performed
Clinical & Coding Specifications
Clinical Context
A 28-year-old patient with symptomatic soft contact lens intolerance and irregular astigmatism presents to an independent contact lens technician clinic for a complete contact lens fitting. The patient has not had prior cataract extraction and retains natural lenses in both eyes. The technician obtains a thorough history, performs binocular and monocular keratometry and corneal topography measurements, conducts manifest and cycloplegic refractions as appropriate, evaluates tear film and ocular surface, performs trial lens evaluations, assesses fit and centration on the eye, and documents visual acuity with the trial lenses. The workflow includes pre-visit chart review, technician-performed diagnostic measurements and trial fitting, documentation of lens parameters and patient tolerance, and communication of findings to the supervising optometrist or ophthalmologist for final prescription authorization when required by state scope-of-practice rules. The service covers both eyes and excludes situations of aphakia following cataract surgery, per the code definition.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | When reporting only the professional portion of a split service if the technician's work is billed separately from the supervising physician's professional interpretation or final prescription. |