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2025 HCPCS code V2200

Single, spherical bifocal lens with diopter measurements from plano to +4.00 and plano to -4.00.

Refer to the most recent HCPCS coding guidelines for proper application of this code. Ensure the diopter range falls within the V2200 specifications.

Modifiers may apply depending on the circumstances of service. Consult modifier guidelines for appropriate use.

Medical necessity is established by a current ophthalmic prescription indicating the need for bifocal correction. The prescription should clearly outline the patient's refractive error and the required lens power.

Optometrist or ophthalmologist responsible for prescribing and fitting the lens. Optician responsible for dispensing the lens.

IMPORTANT For spherical bifocal lenses with diopter measurements outside the range of V2200, consider V2201 (+4.12 to +7.00D) and V2202 (+7.12 to +20.00D).

In simple words: This code covers a single eyeglass lens with two parts: one for seeing things up close, and one for seeing things far away. The strength of the lens is measured in diopters.This type of lens is used to correct vision problems.

This HCPCS code, V2200, represents a single spherical bifocal lens.It's designed to correct both near and distance vision. The corrective power is measured in diopters (D), ranging from plano (0) to +4.00 and plano (0) to -4.00. The lens has rounded surfaces divided into upper and lower sections; the lower section aids near vision, and the upper section corrects distance vision.Materials typically include plastic or glass.A positive diopter value corrects farsightedness, while a negative value corrects nearsightedness.

Example 1: A 60-year-old patient with presbyopia (age-related farsightedness) and mild myopia (nearsightedness) is prescribed a V2200 bifocal lens to improve both near and far vision., A 45-year-old patient with moderate myopia and developing presbyopia is fitted with a V2200 lens to address both near and distance vision challenges., A patient requires a replacement lens due to damage to their existing bifocals. The new prescription remains within the diopter range covered by V2200, so this code is used.

Patient's ophthalmic prescription specifying diopter values for near and far vision. Documentation of lens type (spherical bifocal), material (plastic or glass), and any additional specifications.

** Always verify the diopter range of the lens against the code's specifications.Consider alternate codes V2201 and V2202 if the diopter values fall outside the V2200 range. The correct coding depends on the precise lens specifications as defined in the patient's prescription.

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