92313 Insurance Policy Changes

CPT 92313, in plain terms, covers Fitting and adjusting a special rigid contact lens that covers both the cornea and the white part of your eye. CPT 92313 is referenced in 6 tracked payer policy changes from Mississippi Medicaid (DOM) and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 92313 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 92313 on AAPC