Summary & Overview
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.
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.
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Service type: Eyeglass fitting and dispensing for single focal length lenses
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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. |