2025 HCPCS code V2399

Supply of a specialty trifocal lens; not defined by another code.

Refer to the most current HCPCS coding guidelines for the appropriate use of V-codes.

Modifiers may apply depending on the circumstances of the supply. Consult payer-specific guidelines for appropriate modifier usage.

The medical necessity for the trifocal lenses must be established through appropriate documentation, such as a detailed examination showing the patient's need for correction of vision at multiple distances.

Optometrist or ophthalmologist who prescribes and/or dispenses the lens.

IMPORTANT V2299 (Specialty bifocal lens) may be used for a specialty bifocal lens when a more specific code is not available.

In simple words: This code covers the cost of special trifocal eyeglass lenses.These lenses help people see clearly at different distances (near, far, and middle distances). The doctor will use this code when there's no other specific code to use.

This HCPCS code, V2399, represents the supply of a specialty trifocal lens.This code is utilized when the specific lens supplied does not have a dedicated HCPCS code. Trifocal lenses correct vision at three distances: near, intermediate, and far. They are commonly used to address myopia (nearsightedness) or astigmatism (irregular corneal curvature).Documentation should clearly specify the type of specialty trifocal lens provided, along with the patient's refractive error.

Example 1: A patient with presbyopia (age-related vision change) and astigmatism receives a custom-made trifocal lens to correct their vision at near, intermediate, and far distances.The lens is not a standard type, thus requiring V2399., A patient with high myopia and significant astigmatism requires a high-index trifocal lens with specialized coatings to minimize distortions.The specific lens does not have a designated code, necessitating the use of V2399., A patient who is having difficulty with their existing progressive lenses requires a specialty lens design with customized parameters for optimal visual performance. This custom lens is reported using V2399.

* Provider's prescription specifying the trifocal lens characteristics (material, index, design, etc.)* Patient's refractive error measurements (spherical, cylindrical power, axis)* Documentation supporting medical necessity (e.g., patient's symptoms, visual acuity testing)

** This code is primarily used for custom-made or specialized trifocal lenses that lack a specific HCPCS code. Accurate documentation is crucial for proper reimbursement.

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