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    v1.0.31
    OpenPayerBilling CodesAdministrative, Miscellaneous and InvestigationalHCPCS hcpcs-a9292-prescription-digital-visual-therapy-software
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    HCPCS A9292: Prescription Digital Visual Therapy, Software-Only

    HCPCS Level II code A9292 describes a course-based, FDA-cleared prescription digital visual therapy delivered as software-only intended to treat visual conditions; the service is prescription digital visual therapy and the typical site of service is outpatient or home-based use where the patient accesses the cleared software for a defined course of treatment.

    For related coverage guidance, see recent payer policy updates: Patient-Controlled End Range of Motion Stretching Devices, Sleep Position Trainer, Hospital Beds Corporate Medical Policy.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adolescent or adult with convergence insufficiency, accommodative dysfunction, or binocular vision disorders who is prescribed an FDA-cleared, software-only, prescription digital visual therapy program for a defined course of treatment. The patient has an evaluation by an optometrist or ophthalmologist documenting symptoms (e.g., diplopia, eye strain, difficulty reading) and baseline clinical measures (near point of convergence, positive fusional vergence, accommodative amplitude). The clinician documents medical necessity, selects the appropriate digital therapy regimen, issues a prescription for the software-only product billed as A9292 per course of treatment, and provides instructions for home or supervised use.

    The clinical workflow: the provider performs a diagnostic eye examination, documents the binocular vision diagnosis and treatment plan, prescribes the FDA-cleared software program, and arranges patient access (license key or portal enrollment). The patient completes the prescribed sessions (often daily or several times weekly) over the specified course; progress is monitored by follow-up visits or remote data review. Billing for the software-only prescription uses A9292 once per course of therapy; professional services (evaluation, follow-up) are billed separately using appropriate evaluation and management or ophthalmology/optometry codes and may include modifier 26 when only the professional component is billed or one of the modifiers related to multiple practitioners or technical component responsibilities where applicable.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92004Comprehensive ophthalmological service, new patient; intermediate, with initiation of diagnostic and treatment programUsed for initial diagnostic evaluation when a new patient is assessed and a prescription for digital visual therapy is issued.
    92014Ophthalmological service, established patient; intermediate, with initiation or continuation of diagnostic and treatment programUsed for established patient follow-up visits to monitor response to the software therapy and adjust the course.
    92083Visual field examination, extended (e.g., automated static perimetry), quantitative, with interpretation and reportMay be used when objective visual function testing is performed as part of baseline or follow-up assessment in complex cases.
    95920Electronystagmography, without recording, with interpretation and reportApplicable when vestibular or eye movement testing is performed in conjunction with vision therapy assessment (select cases).
    97112Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular reeducationUsed when supervised, hands-on vision rehabilitation exercises are provided in conjunction with the software program.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    152W00000X
    261QC1500X
    207L00000X
    224Y00000X
    247ZC0005X
    207YX0007X
    261QM0801X
    163WW0101X

    Related ICD-10-CM Codes

    20 rows

    ICD-10-CM CodeDescription
    F80.1Expressive language disorder
    F80.9Developmental disorder of speech and language, unspecified
    F82Specific developmental disorder of motor function
    G31.84Mild cognitive impairment of uncertain or unknown etiology
    G44.1Vascular headache, not elsewhere classified
    H50.9Unspecified strabismus
    H52.11Myopia, right eye
    H52.12Myopia, left eye
    H52.13Myopia, bilateral
    H52.4Presbyopia

    Showing 1–10 of 20

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    10 rows

    PolicyPayerEffective Date
    Patient-Controlled End Range of Motion Stretching DevicesBluecross Idaho2027-01-01
    Sleep Position Trainerregence2027-01-01
    Hospital Beds Corporate Medical Policybcbsvermont2027-01-01
    Continuous Passive Motion Devices with Remote Monitoring or Adaptive CapabilitiesBlue Cross Blue Shield - Rhode Island2026-12-01
    Bone Growth StimulatorsMass General Brigham Health Plan2026-12-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-12-01
    Patient Liftsuniverahealthcare2026-11-16
    Durable Medical Equipment RepairsCareSource Georgia2026-11-01
    Custom Compression GarmentsModa Health2026-11-01
    Tonic Motor Activation (TOMAC) for Restless Legs Syndromeregence2026-11-01

    Related Codes

    HCPCS-A9150-NON-PRESCRIPTION-DRUGS

    HCPCS Level II A9150: Non-prescription Drugs

    HCPCS-A9152-SINGLE-ORAL-VITAMIN-MINERAL-DOSE

    HCPCS A9152: Single Oral Vitamin/Mineral/Trace Element

    HCPCS-A9153-MULTIVITAMIN-ORAL-PER-DOSE

    HCPCS A9153: Multiple Vitamins, Oral, Per Dose

    HCPCS-A9154-ARTIFICIAL-SALIVA-1ML

    HCPCS Level II A9154: Artificial saliva, 1 ml

    HCPCS-A9155-ARTIFICIAL-SALIVA-30ML

    HCPCS Level II A9155: Artificial Saliva, 30 mL

    HCPCS-A9156-ORAL-MUCOADHESIVE-PER-1ML

    HCPCS Level II A9156: Oral Mucoadhesive, Per 1 ml

    HCPCS-A9180-PEDICULOSIS-TOPICAL-TREATMENT-PATIENT-ADMINISTRATION

    HCPCS Level II A9180: Pediculosis Topical Treatment for Patient/Caretaker

    HCPCS-A9268-PROGRAMMER-TRANSIENT-INGESTED-CAPSULE

    HCPCS Level II A9268: Programmer for Transient Orally Ingested Capsule

    HCPCS-A9269-PROGRAMMABLE-TRANSIENT-ORAL-CAPSULE

    HCPCS Level II A9269: Programmable Orally Ingested Capsule, Per Month

    HCPCS-A9270-NON-COVERED-ITEM-OR-SERVICE

    HCPCS A9270: Non-covered Item or Service

    Showing 1–10 of 138

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    99091
    Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient and/or caregiver
    Used when clinicians bill for time interpreting remotely transmitted adherence or performance data from the digital therapy platform, if payer allows.