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CPT 92358: Temporary Intraocular Lens Implantation for Aphakia
CPT code 92358 represents the surgical implantation of a temporary intraocular lens for patients with aphakia to restore vision temporarily or as an interim measure. This code captures a specific ophthalmic surgical service distinct from permanent lens implantation and is relevant for billing clarity and coverage determinations across national payers. The code matters because appropriate coding affects claim adjudication, benefit design interpretation, and access to timely vision-restoring procedures.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on clinical context and service setting, an outline of common billing modifiers and coding considerations, and what to expect in payer coverage approaches. The publication highlights benchmarking and policy considerations important for providers, billing staff, and payers, including where to look for coverage restrictions, prior authorization triggers, and distinctions between temporary versus permanent lens procedures.
The content provides actionable insights for revenue cycle teams and clinical administrators seeking clarity on classification, typical sites of service, and payer engagement for this ophthalmic procedure. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 92358 describes the implantation of a temporary intraocular lens to restore vision in a patient with aphakia (absence of the eye's natural lens). This procedure involves placing a removable or short-term lens device within the eye to provide optical correction while a permanent solution is planned or when permanency is not immediately feasible.
Service type: Surgical ophthalmic procedure — temporary intraocular lens implantation
Typical site of service: Hospital operating room or ambulatory surgical center (ophthalmic surgery setting)