Find policies, billing codes, payers, states, and providers
CPT 92316: Corneal Contact Lens Prescription and Supervised Fitting for Aphakia, Bilateral
CPT code 92316 covers provider-prescribed corneal contact lenses for both eyes in patients with aphakia, with the provider supervising the fitting performed by an independent technician. This code captures a specialized ophthalmic service addressing lens rehabilitation after loss of the natural lens, and it is relevant for practices that deliver prosthetic or optical correction for bilateral aphakia.
Key payers considered in national coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find an overview of clinical context for aphakic lens prescription, typical sites of service, and payer coverage considerations. The publication outlines common billing modifiers and operational touchpoints associated with supervised technician fitting (listed separately), and it summarizes how CPT code 92316 is used in claims for bilateral corneal contact lens services.
This summary is intended to inform billing managers, practice administrators, and clinical leaders about the role of CPT code 92316 in ophthalmic service lines, common payer stakeholders nationally, and the practical clinical scenario that the code represents. Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, related codes, and service-line metrics.
Customize your policy alerts
Sign up for cpt 92316 policy alerts
Get alerted when payer policies referencing 92316 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 92316 describes the provider-prescribed fitting and dispensing of corneal contact lenses for both eyes in a patient with aphakia, where the provider directly supervises an independent technician who performs the fitting.
Service type: Contact lens prescription and supervised fitting for aphakia
Typical site of service: Ophthalmology clinic or specialty eye care practice, where a licensed eye care provider oversees lens selection and fitting and a trained technician executes the hands-on fitting process.