Important Note:
HMSA has partnered with EyeMed, service date effective January 1, 2022. HMSA transitioned our current vision portfolio to a new vision benefit with EyeMed for the following line of business: Commercial, Akamai Advantage®, QUEST Integration, Fed 87, and HMSA Plan for Postal Service Employees. . HMSA will continue to be the administrators for non-routine vision services through the members medical plan(s). For more information, please contact EyeMed at www.eyemedinfocus.com
Contact by phone:
For Providers 1-888-259-4344
Applicable Coverage Codes
Please note that this benefit is for one contact lens fitting per calendar year, with payment up to $45 for Special Vision participating providers, and $20 to members whose providers who do not participate with HMSA's Special Vision plans. Refer to the vision look-up table to confirm which plans have this benefit.
Claims Filing Information
When submitting claims for contact lens fitting, please use one of the following procedure codes:
| CPT code | Description |
|---|---|
| 92310 | Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia |
| 92314 | Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for aphakia |
Use of other codes when billing for contact lens fitting will result in a denial of your claim.
Stand-Alone Benefit
To clarify, contact lens fitting is a stand-alone benefit that members may use whether or not they utilize their eye examination, contact lens, or eyeglasses benefits.
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform |