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
92325Modification of Contact Lens (Separate Procedure), With Medical Supervision of Adaptation
92326Replacement of Contact Lens
92071Fitting 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
92072Fitting 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
V2510Contact Lens, GP, Spherical, Per Lens
V2511Contact Lens, GP, Toric, Per Lens
V2512Contact Lens, GP, Bifocal, Per Lens
V2513Contact Lens, GP, Extended Wear, Per Lens
V2520Contact Lens, Hydrophilic, Spherical, Per Lens
V2521Contact Lens, Hydrophilic, Toric, Per Lens
V2522Contact Lens, Hydrophilic, Bifocal, Per Lens
V2523Contact Lens, Hydrophilic, Extended Wear, Per Lens
V2531Contact Lens, GP, Scleral, Per Lens
V2599Contact Lens, Other Type
V2627Scleral Cover Shell
V2799Vision 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
H55.00H55.09
Absence of iris (Aniridia)
Q13.1
Achromatopsia
H53.51
Adherent leukoma
H17.00H17.03
Albinism
E70.20E70.9
Anterior corneal pigmentations
H18.011H18.019
Aphakia
H27.00H27.03
Arcus senilis
H18.411H18.419
Argentous corneal deposits
H18.021H18.029
Atrophy of the globe
H44.52
Band keratopathy
H18.421H18.429
Bullous keratopathy
H18.10H18.13
Central corneal opacity
H17.10H17.13
Coloboma of iris Q13.0
Code Descriptor
ICD-10 Code
Congenital aphakia
Q12.3
Congenital corneal opacity Q13.3
Corneal ectasia
H18.711H18.719
Corneal scars and opacities
H17.00H17.9, A18.59
Corneal staphyloma
H18.721H18.729
Corneal transplant failure
T86.841
Corneal transplant rejection
T86.840
Corneal transplant status
Z94.7
Corrosion of cornea and conjunctival sac
T26.60XAT26.62XS
Deep vascularization of cornea
H16.441H16.449
Corneal edema, other and unspecified
H18.20H20.239
Displacement of other ocular prosthetic devices, implants and grafts
T85.328AT85.328S
Endothelial corneal dystrophy
H18.51
Epithelial (juvenile) corneal dystrophy
H18.52
Folds and rupture in Bowman's membrane
H18.311H18.319
Graft-versus-host disease
D89.813
Granular corneal dystrophy
H18.53
Keratitis
H16.001H16.079
Keratoconus, unspecified
H18.601H18.629
Keratoconjunctivitis sicca, not specified as Sjögren’s
H16.22
Keratoconus, stable
H18.611H18.619
Keratoconus, unstable
H18.621H18.629
Keratomalacia
H18.441H18.449
Lagophthalmos
H02.201H02.209
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 S05.8X1AS05.8X9S
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
S05.50XAS05.52XS
Peripheral corneal degeneration
H18.461H18.469
Peripheral opacity of cornea
H17.821H17.829
Photokeratitis
H16.13
Posterior corneal pigmentations
H18.051H18.059
Presence of intraocular lens
Z96.1
Pupillary abnormality
H21.561H21.569
Recurrent erosion of cornea
H18.831H18.839
Sjögren’s Syndrome
M35.0
Stromal corneal pigmentations
H18.061H18.069
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
S05.90XAS05.92XS
Vitamin A deficiency with xerophthalmic scars of cornea
E50.6

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