Summary & Overview
HCPCS V2510: Contact Lens, Gas Permeable, Spherical, Per Lens
HCPCS Level II code V2510 identifies a gas-permeable spherical contact lens billed per lens. This code is used by eye care providers and suppliers to classify the provision of rigid gas permeable lenses for refractive correction, an important component of vision care especially for patients who require durable, oxygen-permeable lenses. Nationally, accurate use of V2510 supports consistent billing for lens supply, inventory tracking, and coverage determinations across public and private payers.
Key payers considered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The summary covers payer coverage patterns, coding benchmarks, and the clinical context for gas-permeable lens provision. Readers will gain a concise understanding of what V2510 represents, where the service is typically delivered, and which payers are commonly involved in coverage decisions. The publication also outlines where to find policy updates and common documentation elements needed to support claims. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V2510 describes a contact lens, gas permeable, spherical, per lens. This code represents the provision of an individual gas-permeable (rigid) spherical contact lens intended for optical correction of refractive errors.
Service Type: Durable medical device / optical appliance
Typical Site of Service: Outpatient eye care settings such as ophthalmology or optometry clinics, optical dispensaries, and retail medical supply locations
Data not available in the input for associated taxonomies, ICD-10 diagnoses, or related codes.
Clinical & Coding Specifications
Clinical Context
A 28-year-old patient presents to an optometry clinic with symptomatic refractive error and intolerance to soft contact lenses. After a comprehensive eye examination including manifest refraction and corneal assessment, the clinician determines gas permeable (GP) spherical contact lenses are appropriate. The typical workflow includes patient history and consent, slit-lamp and corneal topography evaluation, trial lens fitting with overrefraction, measurement of visual acuity with the trial GP lens, final lens ordering (one lens per eye as needed) using billing code V2510, and patient education on insertion, removal, cleaning, and follow-up. Follow-up visits at one week and one month assess fit, visual acuity, corneal health, and any need for lens modification. Typical site of service is an outpatient ophthalmology or optometry clinic with optical dispensing services. The service type is durable medical device/vision supply for a single gas permeable spherical contact lens billed per lens.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | When billing for the left eye lens only |
RT | Right side | When billing for the right eye lens only |
NU | New equipment | When this is the initial pair of GP lenses issued to the patient |
RR | Rental (if applicable) | If lenses are provided on a rental basis per payer policy |
XC | Separate component | When billed as a separate component from other services |
SC | Subsequent care | When items are furnished during subsequent patient visits (payer-specific use) |
QX | Rendering provider non-physician | When a non-physician practitioner provided the service under billing rules |
QY | Ordering provider NPI on file | When an ordering provider qualifies under payer requirements |
52 | Reduced services | When fewer lenses or components provided than usual |
59 | Distinct procedural service (note: not in provided list) | Data not available in the input. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
261QP0208X | Optometrist | Primary provider for contact lens fitting and dispensing |
207W00000X | Ophthalmology | Ophthalmologists provide fitting for complex corneal cases |
363L00000X | Optician/Dispensing Optician | Performs lens dispensing and patient education |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
H52.13 | Myopia, bilateral | Common refractive indication for gas permeable spherical lenses |
H52.03 | Hypermetropia, bilateral | Hyperopia may be corrected with GP spherical lenses when appropriate |
H52.4 | Presbyopia | GP lenses may be prescribed with multifocal or monovision strategies (in select cases) |
H18.22 | Corneal irregular astigmatism | Gas permeable lenses often used to improve vision in irregular corneas |
H57.10 | Disorder of refraction, unspecified eye | General refraction disorders that may warrant contact lens correction |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
92004 | Comprehensive ophthalmological service, new patient; with initiation of diagnostic and treatment program | Performed for new patients requiring exam prior to contact lens fitting |
92014 | Comprehensive eye exam, established patient, with initiation of diagnostic and treatment program | Follow-up or established patient exam associated with lens management |
92083 | Contact lens fitting for corneal lens, except for aphakia; corneal rigid gas permeable lens | Specific fitting code for GP lens fitting and fitting fee |
99070 | Supplies and materials (e.g., eye contact lenses), non-physician providers not otherwise classified | Used by some payers to report the supply of contact lenses when applicable |