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2025 HCPCS code V2299

Supply of a specialty bifocal lens, documented by the provider, not defined by another code.

Appropriate documentation is crucial for accurate coding and reimbursement.The provider's report must clearly state the necessity of a specialty bifocal lens due to unique patient needs.

Modifiers may be applicable depending on the specific circumstances of the service, such as the place of service or the type of provider rendering the service.Refer to the appropriate modifier guidelines.

Medical necessity is established through documentation of the patient's refractive error, visual acuity, and the need for custom-made bifocals to correct vision problems not adequately addressed by standard lenses. The provider's report should justify the medical need for this specific lens.

Optometrist, ophthalmologist, or other qualified eye care professional responsible for determining the patient's refractive error and prescribing the appropriate specialty bifocal lenses.

IMPORTANT V2399 (Specialty trifocal, by report) may be used for specialty trifocal lenses not defined by another code.

In simple words: This code is for special bifocal eyeglass lenses made to fit a patient's specific vision needs.They have two parts: one for seeing things up close and another for seeing things far away.These are used when regular bifocals aren't quite right.

This HCPCS code covers the supply of a specialty bifocal lens based on the provider's report when no other specific code applies.Bifocal lenses correct both near and far vision, commonly used for presbyopia or combined refractive errors. These custom-made lenses address unique visual needs not met by standard bifocals. The lens has a defined shape, size, and power, with sections for near and distance vision correction.

Example 1: A 60-year-old patient with presbyopia and astigmatism requires custom bifocal lenses to address both near and far vision issues adequately.Standard bifocals do not provide sufficient correction., A patient with high myopia and a complex refractive error needs custom bifocals tailored to their specific vision needs, requiring the use of V2299., A patient with unusual pupil distance or lens curvature requires a specially crafted bifocal lens, making V2299 the appropriate code.

* Provider's report specifying the need for specialty bifocal lenses.* Detailed lens prescription including power, shape, size, and any specific design requirements.* Documentation of the patient's refractive error and visual needs justifying the use of specialty lenses.

** This code is used when no other more specific HCPCS code accurately reflects the type of specialty bifocal lens supplied.Always refer to the most current HCPCS codebook for any updates or changes.

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