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  • Lens Order Form Cs102 - Art Optical Contact Lens Inc

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CUSTOM LENS ORDER SPECIFICATION FORM Account Name Account # Phone Contact Person Order Date Patient Name Patient Date of Birth Last First Ship completed lens order to: Patient Street Address Apt or.

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Contact support

Encounter for fitting and adjustment of spectacles and contact lenses. Z46. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

92313 – “Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens.” (Note: Even though the CPT description of this code does not specify unilateral or bilateral, it should be considered a unilateral fit.)

HCPCS Code for Contact lens, gas permeable, extended wear, per lens V2513.

Contact Lens Examination In addition to the basic eye examination, a contact lens fitting is reimbursable with CPT® codes 92071, 92072 and 92310 thru 92312 for recipients with medically necessary conditions. The following procedure codes require authorization from the DHCS VSB.

CPT® 92310, Under Contact Lens Services. The Current Procedural Terminology (CPT®) code 92310 as maintained by American Medical Association, is a medical procedural code under the range - Contact Lens Services.

HCPCS Code for Contact lens, scleral, gas impermeable, per lens V2530.

HCPCS Code for Contact lens, scleral, gas permeable, per lens V2531.

HCPCS Code for Contact lens, gas permeable, spherical, per lens V2510.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232