Summary & Overview
HCPCS V2502: PMMA Bifocal Contact Lens, Per Lens
HCPCS Level II code V2502 denotes a polymethyl methacrylate (PMMA) bifocal contact lens billed on a per-lens basis. As a device-specific HCPCS supply code, it identifies a non-elective vision durable medical device used to provide bifocal correction for patients requiring distinct near and distance optics in a single lens. Nationally, device-level HCPCS codes like V2502 matter for accurate device identification, coverage determination, and consistent claims processing across payers.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for PMMA bifocal lenses, typical sites of service where the lens is supplied, and the payer landscape relevant to coverage and billing. The publication summarizes common billing considerations for this HCPCS Level II code and highlights what to expect in claims adjudication for device supplies.
This document does not attempt to provide patient-specific clinical guidance. It focuses on code definition, clinical context, and payer coverage scope so that billing staff, coders, and policy analysts can quickly identify where V2502 fits in supply coding and reimbursement workflows. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V2502 describes a polymethyl methacrylate (PMMA) bifocal contact lens billed per lens. This code represents a specialty contact lens device intended to provide bifocal visual correction using PMMA material.
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Service type: Durable medical device / contact lens fitting and supply
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Typical site of service: Outpatient optical retail clinics, ophthalmology or optometry offices, and specialty vision suppliers
Clinical & Coding Specifications
Clinical Context
A 68-year-old presbyopic patient with aphakia in one eye presents to an ophthalmology clinic for optical rehabilitation. The patient reports difficulty reading and performing near tasks since cataract extraction without posterior chamber intraocular lens implantation several years prior. The practice assesses visual acuity, refractive error, and ocular surface health during a contact lens fitting visit. After determining the patient is a good candidate, a polymethyl methacrylate (PMMA) bifocal contact lens is ordered and dispensed for the affected eye. The clinical workflow includes: initial history and ocular exam, manifest refraction, contact lens fitting evaluation, ordering the lens described by billing code V2502 (Contact lens, PMMA, bifocal, per lens), dispensing, patient education on insertion/removal and care, and follow-up visits to assess fit and visual function. Typical site of service is an ophthalmology or optometry clinic or optical dispensary within an ambulatory facility.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | When billing only the practitioner’s professional interpretation or fitting service distinct from facility charges |
50 |