Summary & Overview
CPT 92340: Fitting of Eyeglasses, Monofocal
CPT code 92340 represents the clinical fitting of eyeglasses for monofocal (single-vision) lenses in patients without aphakia. This code captures the professional service of assessing fit, lens positioning, and patient adaptation when dispensing standard corrective spectacles. Nationally, accurate coding for eyeglass fitting supports appropriate coverage determinations, claims processing, and quality measurement within vision and outpatient eye care services.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code's clinical scope and typical sites of service, plus what to expect when this service is billed across major national payers. The publication covers benchmark elements, payer coverage considerations, and clinical context to help billing, coding, and compliance staff understand where 92340 applies.
The report provides national-level benchmarks where available, summarizes relevant policy updates affecting eyeglass fitting services, and situates the code within outpatient ophthalmology and optometry workflows. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 92340 describes the fitting of eyeglasses, except for aphakia; monofocal. This service covers the clinical fitting process for single-vision (monofocal) corrective lenses for patients who are not aphakic.
Service Type: Eyeglass fitting and dispensing (monofocal)
Typical Site of Service: Eye care clinics, optical dispensaries, outpatient ophthalmology and optometry offices
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient presents to an ophthalmology or optometry clinic for routine post-refractive assessment and new spectacle dispensing. The patient has presbyopia with refractive error corrected by monofocal eyeglasses. The clinical workflow includes visual acuity testing, refraction (subjective and manifest), measurement for spectacle fit (frame selection and pupillary distance), lens selection for monofocal correction, verification of lens powers, patient education on wear and care, and final dispensing. Typical sites of service are outpatient ophthalmology clinics, optometry offices, optical dispensaries within ambulatory surgical centers or hospitals, and vision centers. The service documented by 92340 is billed when eyeglasses (monofocal, excluding aphakia lenses) are fitted and dispensed following clinical assessment and prescription of corrective lenses.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default or no modifier | Standard use when no other modifier applies |
11 | Office or outpatient service primary |