S9150 Evaluation by ocularist
Also known as: prosthetic eye evaluation, ocular prosthesis fitting
Evaluation by ocularist is a professional assessment by an ocularist (prosthetic eye specialist) for fitting and fabrication of ocular prostheses (artificial eyes) in patients with anophthalmia or blind eye.
In Plain Language
fitting of artificial eye
Clinical Context
Used for patients with enucleated eyes, severe phthisical eyes, or congenital absence of eye. Ocularist provides custom artificial eye for cosmetic appearance and psychological wellbeing.
RVU Information
CPT S9150 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S9150?
CPT S9150 (Evaluation by ocularist) is a S Codes code. Evaluation by ocularist is a professional assessment by an ocularist (prosthetic eye specialist) for fitting and fabrication of ocular prostheses (artificial eyes) in patients with anophthalmia or blind eye.
Is S9150 covered by insurance?
S9150 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for patients with enucleated eyes, severe phthisical eyes, or congenital absence of eye. Ocularist provides custom artificial eye for cosmetic appearance and psychological wellbeing.
When is CPT S9150 used?
Used for patients with enucleated eyes, severe phthisical eyes, or congenital absence of eye. Ocularist provides custom artificial eye for cosmetic appearance and psychological wellbeing.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.