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A Guide to Billing for Medically Necessary Contact …

    https://eyesoneyecare.com/resources/guide-to-billing-medically-necessary-contact-lenses/
    Key points: Medically necessary contact lenses can be soft (such as disposable or extended wear), hybrid (such as rigid gas permeable with a soft lens skirt) or hard (rigid gas permeable or scleral) contact lenses. When billing for medically necessary contact lenses, CPT codes 92071, 92072 and 92313 are not meant to be used simultaneously: it ...

So You Want to Start Fitting Medically Necessary Contact Lenses?

    https://modernod.com/articles/2022-july-aug/so-you-want-to-start-fitting-medically-necessary-contact-lenses
    Spectera — Insurance coverage for medically necessary contact lenses includes keratoconus, aphakia, irregular astigmatism, anisometropia >3.50 D, facial and corneal …

Medically Necessary Contact Lenses: Medical Plan or …

    https://www.reviewofcontactlenses.com/article/medically-necessary-contact-lenses-medical-plan-or-vision-plan-responsibility
    A Comparison of Medically Necessary Contact Lens Vision Care Plans. 3D in any meridian. ≥4D BVA ≥20/40 intact epithelium. >3.5D with diplopia or with specs. …

Billing Vision Insurance for Medically Necessary Contact …

    https://orionvisiongroup.com/wp-content/uploads/2016/03/Billing_Medically_Necessary_Contact_Lenses_-_May.pdf
    • The prescribing doctor determines if contact lenses are necessary based on Spectera Vision Guidelines. The conditions that require necessary contact lenses are: - …

Ensuring Compensation When Fitting …

    https://modernod.com/articles/2021-may-june/ensuring-compensation-when-fitting-medically-necessary-contact-lenses
    Follow-up of successfully fitted extended wear lenses is reported as part of a general ophthalmological service. (92012 et seq) The supply of contact lenses may be …

Spectera

    http://spectera.com/
    Spectera

Coding for Medically Necessary Contact …

    https://www.reviewofcontactlenses.com/article/coding-for-medically-necessary-contact-lenses
    V2530: contact lens, scleral, gas impermeable, per lens ($211.81) V2531: contact lens, scleral, gas permeable, per lens ($555.28) Other material …

Contact Lenses - Medical Necessity Criteria

    https://medicalnecessityguide.org/contact-lenses/
    Criteria for documenting medical necessity of contact lenses. If therapeutic soft (hydrophilic) contact lenses or gas-permeable fluid ventilated scleral lenses (such as the …

Spectera Vision Insurance (Glasses, LASIK, etc.)

    https://www.visioncenter.org/pricing/spectera-vision/
    Glasses. Contact lenses. 7. Spectera is a type of vision insurance, underwritten by Golden Rule Insurance Company. It offers significant cost savings on eye …

Spectera Eyecare Networks Billing Guide

    http://members.vtrends.us/wp-content/uploads/2016/12/SPECTERA-Billing-Codes-Modifiers-10.01.2018.pdf
    ND Non-Selection Disposable Contact Lenses (Non- formulary). Use this modifier on the elective contact lenses claim when the benefit plan does not include a …



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