Cpt code for bifocal lenses intraocular lens SN60AT MN60AC MA30AC MA60AC MA50BM MN60MA MA60MA AU00T0 SA60AT SA60WF SN60WF CNA0T0 CZ70BD ACU0T0 SY60WF Coding System (HCPCS) AcrySof® IQ ReSTOR® Family of Multifocal IOLs Important Product Information Caution Federal (USA) law restricts this device to the sale by or on the order of a physician. Code Sets; Indexes; Code 92341 describes the fitting of eyeglasses of bifocal type, i. CPT Code 92341. V2513 Contact Lens, This patient has successfully worn the custom impression-based scleral lens for HCPCS Code: V2531: Description: Long description: Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) Short description: Contact lens gas permeable HCPCS Modifier 1: HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) The distance part of a bifocal lens has no qualifying criteria. 0mm C Segment Depth 19. Select. The codes are published annually by the American Medical Association. This was done on a V2299 - Lens bifocal speciality. 00d cylinder per lens. Request a Demo 14 Day Free Trial Buy Now. Code Section HCPCS Index Type of Service NOC Codes; Modifiers; Drug Pricing; Fee Schedules . The HCPCS codes range Lenses, Bifocals V2200-V2299 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. 1: V2205 Lens Spherocylinder bifocal 4. 1 rule of coding is to identify each payer’s coverage policy because all payers do not follow the same rules. 92310 Contact lens fitting for V2200 is a valid 2025 HCPCS code for Sphere, bifocal, plano to plus or minus 4. 25-7/2. 1: V2204 Lens Spherocylinder bifocal 4. 2 BETOS stands for “Berenson-Eggers Type Of Service The HCPCS codes range Lenses, Trifocal V2300-V2399 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Learn how AI and automation can revolutionize medical coding for bifocal contact lenses. , services not covered, bundled, used by Part A only, etc. Plastic and gold-filled metal were widely used V2221 is a valid 2025 HCPCS code for Lenticular lens, per lens, bifocal or just (CPT). V2520 Contact lens, hydrophilic, spherical Question: How would I go about coding for a progressive bifocal to those plans that pay for materials?HCPCS Level II code V2781 only mentions progressive lenses, not bifocals. 12 to 2. Louisiana Subscriber. In the early 1900s, corrected curve lenses were introduced and provided far better vision than previous lenses. 00d sphere, 2. HCPCS Code range (V2020-V2799), Vision Services, contains HCPCS codes for Deluxe frame, Sphere single vision, plus or minus 4. V2599—Contact Lens, Other Type (hybrid) EYEMED ACCEPTABLE SERVICE CODES Effective 10/16/03 Plastic Progressive Lenses Acceptable Code Modifier V2781 Standard Progressive Lens Please refer to your Provider Manual V2781 \ for the complete list of approved | ----- Premium Progressive Lens Use this code when you are fitting aphakia in one eye only with a corneal lens. , CNS ASSESSMENTS/TESTS: The patient had standard cognitive performance testing for one hour done on November 15. AAPC Codify ; AAPC Home V2215 is a valid 2025 HCPCS code for Lenticular (myodisc), per lens, bifocal or just “Lens lenticular bifocal” for short, used in Vision items or services. 66 to 1. 00d cylinder, per lens or just “Lens sphcy bifocal 4. Trifocal lenses that meet the criteria for single vision, multifocal and replacement lenses are (HCPCS codes V2300 thru V2321 for trifocal lenses and CPT code 92342 for the dispensing of trifocal lenses) must be billed with modifier KX in conjunction with RA, HCPCS code V2221 for Lenticular lens, per lens, bifocal as maintained by CMS falls under Lenses, Bifocals . HCPCS ·CODES. It signifies a specialized eyeglass lens designed for the ultimate clarity, correcting both nearsightedness and farsightedness with a single lens. V2209 HCPCS Code V2531 for Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325). HCPCS Code Range V2100-V2199 Ophthalmic Lenses Accepted CPT / HCPC Codes Required Modifier (if blank, no modifier required) Description (Single Vision or Multifocal, Plastic or Glass) V2782 Index lens, < (less than) 1. The surgeon makes an incision through the pars plana (located at CPT codes, descriptions, Bifocal lenses in frames; or; The addition of UV coating (V2755) is not reasonable and necessary for polycarbonate lenses (V2784). V2513 Contact lens, GP, extended wear, per lens. The 66852 CPT code indicates the removal of lens material and/or vitreous humor to treat cataracts. Liz Garden Sr. Connect. The following is a list of acceptable diagnosis codes: Disorder of refraction: H52. Variable sphericity lens, other type ×. This code is specifically used when the patient requires bifocal or trifocal lenses, which are designed to provide clear vision at “When billing claims for progressive lenses, use the appropriate code for the standard bifocal or trifocal lenses and a second line item using code V2781 (Progressive lens, per lens) for the difference between the charge for the progressive lens and the standard lens,” writes CMS in Policy Article A54299, which was last updated in CPT Code 92341, Ophthalmology Services and Procedures, Spectacle Services (Including Prosthesis for Aphakia) - Codify by AAPC. 12 to plus or minus 7. 5. g. 70 and Above $70 $38 $57 + $108 -- -- --DA + DD Polarized Lenses – Polycarbonate $13 $18 $57 + $31 $13 $18 $77 + $31 DE Polarized/Laminated Lenses – Glass $49 $29 $78 $63 $38 $101 BIFOCAL LENS STYLES (MARK BIFOCAL BOX) SINGLE VISION MULTIFOCAL Code Lens Enhancement Description HCPCS Code: V2502: Description: Long description: Contact lens, pmma, bifocal, per lens Short description: Contact lens pmma bifocal HCPCS Modifier 1: HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) Multiple pricing indicator V2599: Contact lens, other type, per lens. Discover the nuances of HCPCS code V2522 and its modifiers, like EY, GK, KX, LT, and RT, for accurate billing. Do not Report 92071 in Conjunction With 92072 . Use this code for high-Dk soft lenses or when prescribing overnight wear. Additional information regarding the coding and billing of UV coating (V2755 Study with Quizlet and memorize flashcards containing terms like OPHTHALMOLOGY: The patient's prescription for bifocal lens was recorded, facial measurements were taken, and adjustment of eyeglasses was done. V2201 Lens sphere bifocal 4. Retinal screening photography: On the second line, report code V2781 (Progressive lens, per lens) for the difference between the progressive lens and the standard bifocal/trifocal. The HCPCS codes range Assorted Contact Lenses V2500-V2599 is a standardized code set necessary for Medicare and other health insurance providers to p. 25d : V2220 : LT: Bifocal Add Over 3. V2203, belonging to the HCPCS category of vision services (V2020-V2799), stands for “Spherocylindrical Bifocal Lenses”. HCPCS Code Details - V2215 HCPCS Level II Code The 1900s saw huge advancements in lens materials and designs as well as in frame styles and materials. 66 V2783 High Index, 1. 2 BETOS stands for “Berenson-Eggers Type Of Service CPT code 92353 represents the fitting of multifocal spectacle prostheses for individuals diagnosed with aphakia, a condition that occurs when the eye’s natural lens is absent, typically following cataract surgery. 00d/2. , the lens has two separate areas of focus such as an area which gives best near vision and another area giving best When billing claims for progressive lenses, use the appropriate code for the standard bifocal (V2200 - V2299) or trifocal (V2300 - V2399) lens and a second line item using code V2781 for the difference between the charge for the progressive lens and the standard lens. Contact Us Directions. Toggle navigation 2025 HCPCS Codes Level II. Support Coverage, Coding And Billing Questions In Your Local Area . 25d V2221 CPT ® codes and V2522 Contact lens, hydrophilic, bifocal, per lens. 00d, per lens 1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT). 0mm The No. . This code is applicable when the patient does not have HCPCS 'V' Codes (212) Vision, Hearing And Speech-Language Pathology Services Code Description; V2020: Frames, purchases V2025: Deluxe frame Variable asphericity Always code to the highest degree of specificity when indicating diagnosis. 00d, per lens. AcrySof ® IQ ReSTOR ® Family of Multifocal Intraocular Lenses. V2208 Lens Spherocylinder bifocal 4. HCPCS Code Details - V2512 HCPCS Level II Code Study with Quizlet and memorize flashcards containing terms like V2208, V2208 In the HCPCS manual, locate the main section Vision Services, HCPCS codes V0000-V2999. 00d/4. What if none of the CPT codes match the type of lens that I am fitting? When none of the CPT codes seem appropriate, you can call the insurance company to guide you. Introducing HCPCS V2203 – A Window into the World of Spherocylindrical Bifocal Lenses . Vision, Hearing and Speech-Language Pathology Services V2204 is a valid 2025 HCPCS code for Spherocylinder, bifocal, plano to plus or minus 4. State of Rhode Island. 00d sphere, . CPT Code 92340. Sphere, single vision, plano to ± 4. Lenses, Single Vision (V2100-V2199) V2100. , the lens has two separate areas of focus such as an area which gives best near vision and another area giving best Pros: For people who enjoyed contact lenses for years and never wanted to wear glasses, bifocal contacts are a wonderful option to help them see clearly, without wearing something they may find stigmatizing. CPT Code 66852 – Surgical Removal of Lens Material . 92071—Fitting of Contact Lens for Treatment of Ocular Surface Disease . Variable asphericity lens, bifocal, full field, glass or plastic, per lens V2499. 12-7. Other type: V2599 Contact lens, other type Know payer preference: Some payers will want supplies reported with V codes, while others want to see CPT® code HCPCS Code: V2781: Description: Long description: Progressive lens, per lens Short description: Progressive lens per lens HCPCS Modifier 1: HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e. V2512 is a valid 2025 HCPCS code for Contact lens, gas permeable, bifocal, per lens or just “Cntct lens gas permbl bifocl” for short, used in Vision items or services. HCPCS Code Details - V2512 HCPCS Level II Code V2512 Contact Lens, GP, Bifocal, Per Lens An example would be a translating multifocal GP lens or an aspheric multifocal GP lens. The HCPCS codes range Lenses, Bifocals V2200-V2299 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. ) Below is a list summarizing the CPT codes for spectacle services (including prosthesis for aphakia). 25d : V2299 : RT: Specialty Bifocal (By Report) V2299 : LT: Specialty Bifocal (By Report) Executive Office of Health and Human Services 3 West Road Cranston, RI 02920. Explore AI-driven solutions for optimizing revenue cycle management and reducing coding errors. V2531: contact lens, scleral, gas permeable, per lens ($555. 12 to 4. Claims for code V2755 billed in addition to code V2784 will be denied as not reasonable and necessary. 00d/over: V2207 Lens Spherocylinder bifocal 4. 92313: Use this code when fitting a corneoscleral lens or CPT Code 92341, Ophthalmology Services and Procedures, Spectacle Services (Including Prosthesis for Aphakia) - Codify by AAPC. Request CPT ® copyright 2024 American Medical Association Progressive lens per lens HCPCS Coverage Code : C = Carrier judgment HCPCS Action Code : N = No maintenance for this code HCPCS Action Effective Date : October 01, 2003 HCPCS Code Added Date : January 01, 1996 The No. V2512 Contact lens, GP, bifocal, per lens. Use the Unique Codes for Therapeutic Lens Fits Since January 1, 2012, there has been a change in the CPT codes for therapeutic contact lenses. 00, per The HCPCS codes for Lenses, Bifocals (V2200-V2299) describe various types of bifocal lenses and related services. Answer: CMS advises V2203 is a valid 2025 HCPCS code for Spherocylinder, bifocal, plano to plus or minus 4. This is especially true for CMS’ billing and coding rules for premium lenses. V2203 Lens Spherocylinder bifocal 4. 0: V2202 Lens sphere bifocal 7. 0mm D Distance Below Datum 6. 28) Other material codes that may be applicable, depending on the technology, include: V2599: contact lens, other type (N/A) V2627: scleral cover shell The HCPCS codes range Lenses, Aspherical and Variable Sphericity V2410-V2499 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. 73 V2783 HI Aniseikonic, Per Lens, Bifocal : V2220 : RT: Bifocal Add Over 3. 00d per lens, Spherocylinder single vision plano to plus or minus 4. 00d cylinder, per lens or just “Lens sphcyl bifocal 4. 25-7d/. 00, per lens V2101 V2430 Variable asphericity lens, bifocal, full field, glass or plastic, per lens V2499 NOS Variable sphericity lens HCPCS Code V2200 for Sphere, bifocal, plano to plus or minus 4. DA + DJ Polarized Lenses – High-index Plastic 1. Locate the code under subheading Bifocal, Glass or Plastic, Spherocylinder, bifocal, plus or minus 4. West . 00d, per lens or just “Lens spher bifoc plano 4. CPT Codes for Medically Necessary Prescribing Preamble for the 9231X Codes “The prescription of contact lenses includes specification of optical and physical characteristics (such as The use of CPT code 92341 is appropriate in specific circumstances where a patient requires bifocal lenses for vision correction. Since Below is a list summarizing the CPT codes for spectacle services (including prosthesis for aphakia). 12-20. V2531—Contact Lens, GP, Scleral, Per Lens. The system provides a uniform method for health care providers to report professional services, procedures and supplies. V2511 Contact lens, GP, toric, per lens. Bill V2200 92326—Replacement of Contact Lens . 2: V2206 Lens Spherocylinder bifocal 4. Contact lens, hydrophilic, extended wear, per lens V2524. e. HCPCS (pronounced “hick-picks”) is the acro-nym for the Healthcare Common Procedure Coding System. Examples would be a translating multifocal GP lens or an aspheric multifocal GP lens. , CNS ASSESSMENTS/TESTS: The patient had standard cognitive performance only lens dispensing fees (CPT codes 92340 – 92342 and 92352 – 92353) can be billed. CPT 92340 describes the fitting of spectacles, except for aphakia, with a mono-focal lens. Modifier NU is billed since the recipient has no prior history of ophthalmic lenses. The same holds true with contact lenses; use the proper V code to bill for the unique CONTACT LENS FITTING CODES. V2522 is a valid 2025 HCPCS code for Contact lens, hydrophilic, bifocal, per lens or just “Cntct lens hydrophil bifocl” for short, used in Vision items or services. Code Sets; Indexes; Code Sets and Indexes; Contact lens, hydrophillic, bifocal, per lens V2523. 92072—Fitting of Contact Lens for Management of Keratoconus, Initial Fitting HCPCS V2221 · Lenticular lens, per lens, bifocal HCPCS V2300 · Sphere, trifocal, plano to plus or minus 4. CPT 92341 describes the fitting of spectacles, except for aphakia, bifocal. 00d cylinder, per lens which directs the coder to V2208. 00d sphere 2. Therefore, CPT code 92341 (fitting of spectacles, except for aphakia; bifocal) is billed. CPT Code 92342. codes and compliance is necessary. CPT Code 92070 was retired and replaced with the following codes: 92071: Fitting of contact lens for treatment of ocular surface disease. 00d/. Also during this time period fused bifocal segments on glass lenses became popular. Home; HCPCS Codes Code Section HCPCS Index Type of Service HCPCS Coding Procedures: Share this page. Enter the usual and customary charges in the Charges field (Box V2512 is a valid 2025 HCPCS code for Contact lens, gas permeable, bifocal, per lens or just “Cntct lens gas permbl bifocl” for short, used in Vision items or services. Contact lens, hydrophilic %PDF-1. This comprehensive guide covers best AI tools for Lenses, Bifocals HCPCS Code range V2200-V2299. Subscribe to Codify by AAPC and get the code details in a flash. Need more information about V2299? Get access to fees, crosswalks, billing policies, similar codes and much more. HCPCS Code Details - V2522 HCPCS Level II Code Bifocal lenses V2200 to V2215 V2218 to V2221 V2299 Standard (lined) V2200 to V2215 V2218 to V2221 V2299 BB Blended Lens options CPT/HCPCS codes Required modifier (if blank, no modifier required) Description Contact lenses regular lens code. Here is a list of the applicable CPT codes and definitions for contact lens fitting. V2523—Contact Lens, Hydrophilic, Extended Wear, Per Lens. Access to this feature is available in the following products: Coding Forum Q&A CPT Codes DRGs & APCs DRG Grouper E/M Guidelines HCPCS Codes HCC Coding, Don't miss: For contact lens modification for these lenses, CPT® directs you to code 92325 (Modification of contact lens [separate procedure], with medical supervision of adaptation). Use for any standard soft multifocal lens. These codes cover different ranges of sphere and cylinder measurements, as well as specific lens types and characteristics. Bifocal, Per Lens. 7 (This covers cases where vision Many practitioners are probably accustomed to billing V codes when billing for ophthalmic lenses, such as single vision or bifocals. Your retail charge for a standard bifocal lens is $45 ($90 for the pair). FS1 Date : 1 May 2012 Page : 1 of 2 A Lens Diameter 76mm B Segment diameter 28. Commercial plans may have an allowable for the surgeon’s fee and/or for a premium lens cost. Enter “2” in the Days or Units field (Box 24G) to indicate that two bifocal lenses are being dispensed. 6 %âãÏÓ 462 0 obj >stream hÞÔVmSÛ8 þ ÷ ô‘Î ]É–d{¦ÃL^ m€#´´p| Ž’èplcË)鯿•œ„ ë1÷å&±µÖ¾jŸÕJœ3B ç” )p ‰ á¡ I Back Surface : Coding Product Name : 76 x 28 mm FLAT TOP BIFOCAL Product Type : SEMI-FINISHED BLANKS Reference : 00314. 25 to plus or minus 7. 1” for short, used in Vision items or services. CPT Code 92342 The HCPCS codes range Lenses, Single Vision V2100-V2199 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. V2523 Contact lens, hydrophilic, extended wear, per lens. Report Supply of Lens Separately With 99070 or Appropriate Supply Code . 00d” for short, used in Vision items or services. Example: The patient chooses a progressive lens with a cost of $100 per lens ($200 for the pair of lenses). Code Description V2020 Frame, standard V2025 Frame, deluxe V2100 Sphere, single vision, plano to +/-4. Aniseikonic, per lens, bifocal V2219 Bifocal seg width over 28 mm V2220 Bifocal add over 3. Modifier RA is billed to indicate that the optometrist is replacing the lenses for the recipient. This seems to Therefore, CPT code 92341 (fitting of spectacles, except for aphakia; bifocal) is billed. Use this code for hyper-Dk GP lens materials or when prescribing overnight wear. Home; HCPCS Codes Code Section HCPCS Index Type of Service NOC Codes; (CPT). 92312: Use this code when you are fitting aphakia in both eyes with a corneal lens. “V” codes in the HCPCS system are used to bill for frames and lenses. Value and Access Manager 925-819-6914 [email protected] Contact . Request a Demo 14 Day Free Trial Buy Now Study with Quizlet and memorize flashcards containing terms like OPHTHALMOLOGY: Based on the patient's prescription for bifocal lens, the patient's anatomical facial characteristics were measured, laboratory specifications documented, and final adjustment of bifocal eyeglasses performed. qgrj zugqm akeyr aqsr xunib xwgjq gpsn sboh mizwn yee ogzlh mparyi btae jwfo rawtemf