V2510 Specialty Lens Codes
User Manual: V2510
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Codes for Medically Necessary Contact Lenses 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 power, size, curvature, flexibility, gas-permeability). It is NOT a part of the general ophthalmological services. The fitting of a contact lens includes instruction and training of the wearer and incidental revision of the lens during the training period. Follow-Up of successfully fitted extended wear lenses is reported as part of a general ophthalmological service. (92012 et seq) The supply of contact lenses may be reported as part of the fitting. It may also be reported separately by using the appropriate supply code.” 92310 (92314*)—Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, With Medical Supervision of Adaptation; Corneal Lens, Both Eyes, Except for Aphakia 92311 (92315*)— Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, With Medical Supervision of Adaptation; Corneal Lens for Aphakia, One Eye 92312 (92316*)— Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, With Medical Supervision of Adaptation; Corneal Lens for Aphakia, Both Eyes 92313 (92317*)— Prescription of Optical and Physical Characteristics of and Fitting of Contact Lens, With Medical Supervision of Adaptation; Corneoscleral Lens (*) Denotes codes for same service when provided by a technician 92325—Modification of Contact Lens (Separate Procedure), With Medical Supervision of Adaptation 92326—Replacement of Contact Lens 92071—Fitting of Contact Lens for Treatment of Ocular Surface Disease Do not Report 92071 in Conjunction With 92072 Report Supply of Lens Separately With 99070 or Appropriate Supply Code 92072—Fitting of Contact Lens for Management of Keratoconus, Initial Fitting For Subsequent Fittings, Report Using Evaluation and Management Services or General Ophthalmological Services Do not Report 92072 in Conjunction With 92071 Report Supply of Lens Separately With 99070 or Appropriate Supply Code HCPCS Codes for Medically Necessary Prescribing V2510—Contact Lens, GP, Spherical, Per Lens V2511—Contact Lens, GP, Toric, Per Lens V2512—Contact Lens, GP, Bifocal, Per Lens V2513—Contact Lens, GP, Extended Wear, Per Lens V2520—Contact Lens, Hydrophilic, Spherical, Per Lens V2521—Contact Lens, Hydrophilic, Toric, Per Lens V2522—Contact Lens, Hydrophilic, Bifocal, Per Lens V2523—Contact Lens, Hydrophilic, Extended Wear, Per Lens V2531—Contact Lens, GP, Scleral, Per Lens V2599—Contact Lens, Other Type V2627—Scleral Cover Shell V2799—Vision Item or Service, Miscellaneous ICD-10-CM Codes for Medically Necessary Contact Lens Prescribing Code Descriptor ICD-10 Code Progressive high (degenerative) myopia H44.23 Hypermetropia H52.03 Myopia H52.13 Astigmatism, regular H52.229 Astigmatism, irregular H52.219 Anisometropia H52.31 Aniseikonia H52.32 Presbyopia H52.4 Protan defect H53.54 Deutan defect H54.53 Tritan defect H54.55 Nystagmus H55.00—H55.09 Absence of iris (Aniridia) Q13.1 Achromatopsia H53.51 Adherent leukoma H17.00—H17.03 Albinism E70.20—E70.9 Anterior corneal pigmentations H18.011—H18.019 Aphakia H27.00—H27.03 Arcus senilis H18.411—H18.419 Argentous corneal deposits H18.021—H18.029 Atrophy of the globe H44.52 Band keratopathy H18.421—H18.429 Bullous keratopathy H18.10—H18.13 Central corneal opacity H17.10—H17.13 Coloboma of iris Q13.0 Code Descriptor ICD-10 Code Congenital aphakia Q12.3 Congenital corneal opacity Q13.3 Corneal ectasia H18.711—H18.719 Corneal scars and opacities H17.00—H17.9, A18.59 Corneal staphyloma H18.721—H18.729 Corneal transplant failure T86.841 Corneal transplant rejection T86.840 Corneal transplant status Z94.7 Corrosion of cornea and conjunctival sac T26.60XA—T26.62XS Deep vascularization of cornea H16.441—H16.449 Corneal edema, other and unspecified H18.20—H20.239 Displacement of other ocular prosthetic devices, implants and grafts T85.328A—T85.328S Endothelial corneal dystrophy H18.51 Epithelial (juvenile) corneal dystrophy H18.52 Folds and rupture in Bowman's membrane H18.311—H18.319 Graft-versus-host disease D89.813 Granular corneal dystrophy H18.53 Keratitis H16.001—H16.079 Keratoconus, unspecified H18.601—H18.629 Keratoconjunctivitis sicca, not specified as Sjögren’s H16.22 Keratoconus, stable H18.611—H18.619 Keratoconus, unstable H18.621—H18.629 Keratomalacia H18.441—H18.449 Lagophthalmos H02.201—H02.209 Leukocoria H44.53 Mydriasis (Persistent) H57.04 Other corneal scars and opacities H17.89 Code Descriptor ICD-10 Code Other hereditary corneal dystrophies H18.59 Other injuries of eye and orbit S05.8X1A—S05.8X9S Other keratitis H16.8 Other mechanical complication of other ocular prosthetic devices, implants and grafts T85.398A--T85.398S Other tuberculosis of eye A18.59 Penetrating wound with foreign body S05.50XA—S05.52XS Peripheral corneal degeneration H18.461—H18.469 Peripheral opacity of cornea H17.821—H17.829 Photokeratitis H16.13 Posterior corneal pigmentations H18.051—H18.059 Presence of intraocular lens Z96.1 Pupillary abnormality H21.561—H21.569 Recurrent erosion of cornea H18.831—H18.839 Sjögren’s Syndrome M35.0 Stromal corneal pigmentations H18.061—H18.069 Unspecified corneal deformity H18.70 Unspecified corneal degeneration H18.40 Unspecified corneal edema H18.20 Unspecified corneal membrane change H18.30 Unspecified corneal scar and opacity H17.9 Unspecified hereditary corneal dystrophies H18.50 Unspecified injury of unspecified eye and orbit S05.90XA—S05.92XS Vitamin A deficiency with xerophthalmic scars of cornea E50.6
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