2025 HCPCS code V2202

Spherical bifocal lens, plus or minus 7.12 to plus or minus 20.00 diopters, per lens.

Use V codes to represent vision supplies and other supplies related to vision, such as spectacles, contact lenses, intraocular lenses, lenses, eye prostheses, and other miscellaneous items.

Modifiers such as RT (right side) and LT (left side) may be applicable to specify which eye the lens is for. Modifiers as described in given documentation are also applicable.

Medical necessity is established by the diagnosis requiring vision correction.The provider's documentation should link the prescribed lens to the diagnosis.

Providers such as ophthalmologists and optometrists prescribe and fit these lenses. They measure the patient's refractive error to determine the required diopter correction for both near and distance vision.

IMPORTANT For lenses with different diopter measurements, see V2200 (plano to +/- 4.00D) and V2201 (+/- 4.12 to +/- 7.00D).

In simple words: This code covers one bifocal lens used in eyeglasses. Bifocals have two parts: one helps you see things far away, and the other helps you see things close up.This specific code is for lenses with a certain range of correction strength.

This code covers a single, spherical bifocal lens with diopter measurements ranging from +7.12 to +20.00 and -7.12 to -20.00.A spherical bifocal lens has two sections: one for near vision and one for distance vision.The plus diopter measurement corrects farsightedness (difficulty seeing near objects), while the minus diopter measurement corrects nearsightedness (difficulty seeing distant objects).

Example 1: A patient with presbyopia (age-related farsightedness) and myopia (nearsightedness) requires bifocal lenses to correct both conditions. The prescribed lens has a diopter of -8.00 for distance vision and +9.00 for near vision, thus V2202 is used., A patient who had cataract surgery requires bifocals with a higher diopter correction for both near and distance vision, falling within the range specified by V2202., A patient with high myopia and early presbyopia needs bifocal lenses to address both distance and near vision. The required correction for both falls within the V2202 range.

Documentation should include the prescription specifying the diopter measurements for both near and distance vision, the type of lens material, and any specific coatings (e.g., anti-reflective).

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