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CPT 92352: Single-Focal Eyeglass Fitting After Lens Removal

CPT code 92352 covers the fitting and dispensing of eyeglasses with a single specified focal length for patients who have had removal of the native crystalline lens, commonly following cataract surgery. Nationally, this code represents a routine optical rehabilitation step for aphakic or pseudophakic patients and factors into outpatient vision-care utilization and durable medical equipment considerations.

Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the service is used, the expected sites of service, and the role of this fitting in postoperative visual rehabilitation. The report also highlights common billing modifiers and practice-level considerations applicable to spectacle fitting, plus benchmarking elements and policy-relevant notes where available.

This summary provides a concise reference for administrators, clinicians, and billing staff seeking to understand the clinical purpose of 92352, typical care settings, and the payer landscape relevant to single-focal-length eyeglass fittings after lens removal. Data not available in the input for specific reimbursement rates, associated taxonomies, ICD-10 mappings, or related codes.

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Billing Code Overview

CPT code 92352 describes the fitting of eyeglasses with one specified focal length for patients who have undergone removal of the native crystalline lens (for example, following cataract extraction). This service is a spectacle fitting and dispensing encounter intended to determine and provide a single focal-length corrective lens to a patient who is aphakic or pseudophakic after lens removal.

Service type: Eyeglass fitting and dispensing for single focal length lenses
Typical site of service: Ophthalmology or optometry clinic, outpatient optical dispensary, or vision care center

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CPT 92352: Single-Focal Eyeglass Fitting After Lens Removal

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Billing Code Overview

Service type: Eyeglass fitting and dispensing for single focal length lenses
Typical site of service: Ophthalmology or optometry clinic, outpatient optical dispensary, or vision care center

Clinical & Coding Specifications

Clinical Context

A 72-year-old patient presents for postoperative visual rehabilitation two to four weeks after uncomplicated cataract extraction with intraocular lens implantation. The patient reports blurred vision at distance and/or near despite the implanted intraocular lens; the ophthalmologist determines a single focal-power spectacle prescription is appropriate (for example, distance-only correction in a pseudophakic eye). Clinical workflow includes postoperative refractive assessment, determination of best-corrected visual acuity, refraction and lensometry review of the intraocular lens, discussion of single-vision eyeglass options, frame selection and measurement, and final fitting and verification of the single specified focal length spectacle lenses. Typical site of service is an outpatient ophthalmology clinic, optical dispensary within an eye care facility, or ambulatory surgical center–associated optical service where postoperative fittings are performed. The typical patient is an adult who underwent removal of the native crystalline lens (pseudophakia) following cataract surgery and requires single-vision eyeglasses tailored to the implanted intraocular lens power and residual refractive error.

Coding Specifications

Modifier	Description	When to Use
`00`	Baseline (no modifier)	Use when no modifier is required; standard reporting of fitting service.
`11`	Primary procedure	Use when this fitting is the primary service provided during the encounter.
`22`	Increased procedural services	Use when the fitting requires substantially greater work than typical (document rationale).
`23`	Unusual anesthesia	Generally not applicable for routine eyeglass fitting; included for completeness if unusual anesthesia is required.
`26`	Professional component	Use when only the professional component (physician/optometrist services) is billed separate from technical/dispensing.
`51`	Multiple procedures	Use when multiple unrelated procedures are performed in the same encounter and payer requires modifier.
`52`	Reduced services	Use when the fitting service was partially reduced or not fully performed.
`53`	Discontinued procedure	Use when the fitting was started but discontinued for documented medical reasons.
`54`	Surgical care only	Use when only the surgical portion (not typical for fittings) is billed by the surgeon and fitting is separate.
`55`	Postoperative management only	Use when only postoperative care is billed by the provider and the technical fitting is by another entity.
`56`	Preoperative management only	Rare for fittings; use when only preoperative management is billed.
`62`	Two surgeons	Use when two surgeons with distinct skills are required and both bill.
`78`	Return to OR for related procedure	Use when a return to the operating room for a related service occurs and affects billing.
`80`	Assistant at surgery	Use when an assistant surgeon is involved and billed separately.

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology	Ophthalmologists commonly perform postoperative evaluation and prescribe/prescribe/authorize the fitting.
174400000X	Optometry	Optometrists perform refraction, frame fitting, and dispensing in outpatient settings.
332B00000X	Ophthalmic Medical Technician/Technologist	Allied eye-care personnel involved in measurements, lensometry, and dispensing support.
261QM0800X	Optical Dispensers	Licensed optical dispensers or opticians who perform frame selection, lens fabrication coordination, and fitting.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H25.9`	Unspecified age-related cataract	Primary indication for native lens removal and subsequent pseudophakia requiring single-vision spectacle fitting.
`H26.9`	Unspecified cataract and other lens disorders	Lens pathology leading to extraction and need for postoperative refractive correction.
`H28.9`	Disorder of lens, unspecified	General lens disorder category related to cataract extraction and pseudophakic correction.
`H52.4`	Presbyopia	May coexist after lens extraction; influences single-focal distance vs near lens choice.
`H52.1`	Hypermetropia (farsightedness)	Residual refractive error after intraocular lens implantation affecting spectacle prescription.
`H52.2`	Myopia	Residual nearsighted refractive error addressed by single focal lenses postoperatively.
`H52.3`	Astigmatism	Postoperative corneal or residual astigmatism that may be accounted for in spectacle fitting.
`Z96.1`	Presence of intraocular lens	Status code indicating pseudophakia and directly relevant for billing `92352`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92004`	Comprehensive ophthalmological service, new patient; with initiation of diagnostic and treatment program (extended)	Performed prior to fitting for initial comprehensive postoperative evaluation in complex cases.
`92014`	Ophthalmological service; established patient, comprehensive, with initiation of diagnostic and treatment program	Used for postoperative follow-up visits that include refraction and assessment before the fitting.
`92015`	Determination of refractive state	Performed to determine spectacle prescription that informs the single-focal fitting.
`92340`	Spectacle dispensing, except for aphakia and aphakic-fitted lenses	Related dispensing code; `92352` specifically addresses fitting for pseudophakic single focal lenses after lens removal.
`92354`	Fitting of spectacles for aphakia, two specified focal lengths	Related fitting code used for aphakic patients or bifocal needs; contrasts with single-focal `92352`.
`92310`	Prescription, fitting, and dispensing of contact lenses for aphakia (nonsurgical)	May be performed as an alternative refractive rehabilitation option in post-lens removal patients.

Related Codes

CPT-92340-MONOFOCAL-EYEGLASS-FITTING

CPT 92340: Fitting of Eyeglasses, Monofocal

CPT-92341-BIFOCAL-EYEGLASS-FITTING-DISPENSING

CPT 92341: Bifocal Eyeglass Fitting and Dispensing

CPT-92342-MULTIFOCAL-EYEGLASS-FITTING-TRIFOCAL

CPT 92342: Multifocal (e.g., Trifocal) Eyeglass Fitting

CPT-92353-POST-CATARACT-MULTIFOCAL-EYEGLASS-FITTING

CPT 92353: Post-Cataract Multifocal Eyeglass Fitting

CPT-92354-MAGNIFYING-LENS-FITTING-FOR-NEAR-VISION

CPT 92354: Magnifying Lens Fitting for Near Vision

CPT-92355-TELESCOPIC-LENS-FITTING-FOR-NEAR-VISION

CPT 92355: Telescopic Lens Fitting for Near Vision

CPT-92358-TEMPORARY-INTRAOCULAR-LENS-IMPLANTATION-APHAKIA

CPT 92358: Temporary Intraocular Lens Implantation for Aphakia

CPT-92370-EYEGLASS-ADJUSTMENT-AND-REPAIR

CPT 92370: Eyeglass Adjustment and Repair

CPT-92371-EYEGLASS-ADJUSTMENT-REPAIR-APHAKIA

CPT 92371: Eyeglass Adjustment and Repair for Aphakia

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	Baseline (no modifier)	Use when no modifier is required; standard reporting of fitting service.
`11`	Primary procedure	Use when this fitting is the primary service provided during the encounter.
`22`	Increased procedural services	Use when the fitting requires substantially greater work than typical (document rationale).
`23`	Unusual anesthesia	Generally not applicable for routine eyeglass fitting; included for completeness if unusual anesthesia is required.
`26`	Professional component	Use when only the professional component (physician/optometrist services) is billed separate from technical/dispensing.
`51`	Multiple procedures	Use when multiple unrelated procedures are performed in the same encounter and payer requires modifier.
`52`	Reduced services	Use when the fitting service was partially reduced or not fully performed.
`53`	Discontinued procedure	Use when the fitting was started but discontinued for documented medical reasons.
`54`	Surgical care only	Use when only the surgical portion (not typical for fittings) is billed by the surgeon and fitting is separate.
`55`	Postoperative management only	Use when only postoperative care is billed by the provider and the technical fitting is by another entity.
`56`	Preoperative management only	Rare for fittings; use when only preoperative management is billed.
`62`	Two surgeons	Use when two surgeons with distinct skills are required and both bill.
`78`	Return to OR for related procedure	Use when a return to the operating room for a related service occurs and affects billing.
`80`	Assistant at surgery	Use when an assistant surgeon is involved and billed separately.

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology	Ophthalmologists commonly perform postoperative evaluation and prescribe/prescribe/authorize the fitting.
174400000X	Optometry	Optometrists perform refraction, frame fitting, and dispensing in outpatient settings.
332B00000X	Ophthalmic Medical Technician/Technologist	Allied eye-care personnel involved in measurements, lensometry, and dispensing support.
261QM0800X	Optical Dispensers	Licensed optical dispensers or opticians who perform frame selection, lens fabrication coordination, and fitting.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H25.9`	Unspecified age-related cataract	Primary indication for native lens removal and subsequent pseudophakia requiring single-vision spectacle fitting.
`H26.9`	Unspecified cataract and other lens disorders	Lens pathology leading to extraction and need for postoperative refractive correction.
`H28.9`	Disorder of lens, unspecified	General lens disorder category related to cataract extraction and pseudophakic correction.
`H52.4`	Presbyopia	May coexist after lens extraction; influences single-focal distance vs near lens choice.
`H52.1`	Hypermetropia (farsightedness)	Residual refractive error after intraocular lens implantation affecting spectacle prescription.
`H52.2`	Myopia	Residual nearsighted refractive error addressed by single focal lenses postoperatively.
`H52.3`	Astigmatism	Postoperative corneal or residual astigmatism that may be accounted for in spectacle fitting.
`Z96.1`	Presence of intraocular lens	Status code indicating pseudophakia and directly relevant for billing `92352`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92004`	Comprehensive ophthalmological service, new patient; with initiation of diagnostic and treatment program (extended)	Performed prior to fitting for initial comprehensive postoperative evaluation in complex cases.
`92014`	Ophthalmological service; established patient, comprehensive, with initiation of diagnostic and treatment program	Used for postoperative follow-up visits that include refraction and assessment before the fitting.
`92015`	Determination of refractive state	Performed to determine spectacle prescription that informs the single-focal fitting.
`92340`	Spectacle dispensing, except for aphakia and aphakic-fitted lenses	Related dispensing code; `92352` specifically addresses fitting for pseudophakic single focal lenses after lens removal.
`92354`	Fitting of spectacles for aphakia, two specified focal lengths	Related fitting code used for aphakic patients or bifocal needs; contrasts with single-focal `92352`.
`92310`	Prescription, fitting, and dispensing of contact lenses for aphakia (nonsurgical)	May be performed as an alternative refractive rehabilitation option in post-lens removal patients.

Related Codes

CPT-92340-MONOFOCAL-EYEGLASS-FITTING

CPT 92340: Fitting of Eyeglasses, Monofocal

CPT-92341-BIFOCAL-EYEGLASS-FITTING-DISPENSING

CPT 92341: Bifocal Eyeglass Fitting and Dispensing

CPT-92342-MULTIFOCAL-EYEGLASS-FITTING-TRIFOCAL

CPT 92342: Multifocal (e.g., Trifocal) Eyeglass Fitting

CPT-92353-POST-CATARACT-MULTIFOCAL-EYEGLASS-FITTING

CPT 92353: Post-Cataract Multifocal Eyeglass Fitting

CPT-92354-MAGNIFYING-LENS-FITTING-FOR-NEAR-VISION

CPT 92354: Magnifying Lens Fitting for Near Vision

CPT-92355-TELESCOPIC-LENS-FITTING-FOR-NEAR-VISION

CPT 92355: Telescopic Lens Fitting for Near Vision

CPT-92358-TEMPORARY-INTRAOCULAR-LENS-IMPLANTATION-APHAKIA

CPT 92358: Temporary Intraocular Lens Implantation for Aphakia

CPT-92370-EYEGLASS-ADJUSTMENT-AND-REPAIR

CPT 92370: Eyeglass Adjustment and Repair

CPT-92371-EYEGLASS-ADJUSTMENT-REPAIR-APHAKIA

CPT 92371: Eyeglass Adjustment and Repair for Aphakia

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 92352: Single-Focal Eyeglass Fitting After Lens Removal

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Billing Code Overview

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CPT 92352: Single-Focal Eyeglass Fitting After Lens Removal

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References