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Gas Permeable Scleral Contact Lens

Blue Cross & Blue Shield of Mississippi·MS · Ophthalmology, Optometry·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This is a comprehensive policy defining medical necessity criteria for gas permeable scleral contact lenses. The policy establishes that these specialized lenses are covered for specific corneal conditions when standard treatments have failed, with clear CPT and HCPCS billing codes provided.

Action Required

Action needed
Immediately: Billing team must ensure claims for scleral contact lenses use CPT codes 92313 or 92317 and HCPCS V2531. Verify patient has documented failure of topical medications or standard contact lens fitting before billing. Ensure diagnosis codes match covered conditions including corneal ectatic disorders, corneal scarring, irregular astigmatism, or ocular surface disease. Claims for other conditions will be denied as not medically necessary.

Affected Billing Codes

92313
92317
V2531
H52.211
H52.219
H16.401
H16.449
A18.59
H17.00
H17.9
H18.40
H18.49
H18.831
H18.839
H18.601
H18.629
H18.70
H18.799
L12.1
T85.318A
T85.318S
T85.328A
T85.328S
T85.398A
T85.398S