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    v1.0.28
    OpenPayerBilling CodesVision ServicesHCPCS hcpcs-v2523-hydrophilic-extended-wear-contact-lens-per-lens
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    HCPCS Level II V2523: Contact Lens, Hydrophilic, Extended Wear, Per Lens

    HCPCS Level II code V2523 describes a hydrophilic extended wear contact lens, billed per lens for contact lens services; the service represents provision of a soft, water-absorbing lens intended for extended wear use and is typically supplied in an outpatient eye care or optical setting such as an ophthalmology or optometry office or specialty optical dispensary.

    For related coverage guidance, see recent payer policy updates: Evaluation of Dry Eyes, Evaluation of Dry Eyes, Ophthalmic Prostaglandin Analog Prior Authorization Criteria.

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    Clinical & Coding Specifications

    Clinical Context

    A 28-year-old patient with symptomatic myopia requests extended-wear contact lenses to reduce daytime refractive correction and accommodate an active lifestyle. The patient presents to an ophthalmology or optometry clinic for evaluation. The clinical workflow includes a comprehensive eye exam with refraction, corneal curvature and topography assessment, slit-lamp anterior segment evaluation, tear film and ocular surface assessment, and measurement of lens parameters. If appropriate, a contact lens fitting is performed with dispensing of V2523 (contact lens, hydrophilic, extended wear, per lens). Education on insertion, removal, care, and warning signs of complications (e.g., pain, redness, decreased vision) is provided. Follow-up visits are scheduled for fit assessment, visual acuity verification, and evaluation for adverse events such as contact lens–associated keratitis. Typical sites of service are outpatient ophthalmology or optometry clinics and optical dispensaries associated with those clinics.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92004Ophthalmological exam and evaluation, new patient, comprehensive, with initiation of diagnostic and treatment program; intermediate or completeInitial comprehensive eye exam for new patients prior to contact lens fitting
    92015Determination of refractive stateRefraction performed to determine prescription used for contact lens power selection
    92083Visual field examination, extendedUsed when visual field testing is clinically indicated prior to lens dispensation for certain conditions
    92072Fitting of contact lens for ocular surface disease (e.g., scleral lens)Contact lens fitting code; used when fitting complex therapeutic or specialty lenses (related workflow)
    99070Supplies and materials provided by the physician over and above those usually included in the office visitUsed to report disposable materials or supplies associated with lens dispensing when payer allows

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    174400000XSpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
    333600000XPharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
    261QP2300XPrimary Care Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    133VN1301XOncology Nutrition Registered DietitianAn individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed wi…
    3336C0002XClinic PharmacyA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…
    261QA1903XAmbulatory Surgical Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    152WC0802XCorneal and Contact Management OptometristThe professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability…
    2084A2900XNeurocritical Care PhysicianThe medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like othe…

    Related ICD-10-CM Codes

    15 rows

    ICD-10-CM CodeDescription
    E10.36Type 1 diabetes mellitus with diabetic cataract
    E11.36Type 2 diabetes mellitus with diabetic cataract
    G47.33Obstructive sleep apnea (adult) (pediatric)
    H04.121Dry eye syndrome of right lacrimal gland
    H04.122Dry eye syndrome of left lacrimal gland
    H10.9Unspecified conjunctivitis
    H11.003Unspecified pterygium of eye, bilateral
    H15.9Unspecified disorder of sclera
    H16.9Unspecified keratitis
    H52.4Presbyopia

    Showing 1–10 of 15

    Related Payer Policy Updates

    Specialty: Ophthalmology/Optometry1 / 2

    4 rows

    PolicyPayerEffective Date
    Evaluation of Dry EyesOscar Health2026-10-01
    Evaluation of Dry EyesBlue Cross Blue Shield - New Mexico2026-09-04
    Ophthalmic Prostaglandin Analog Prior Authorization Criteriamedimpact2026-09-01
    revakinagene taroretcel-lwey (Encelto) coverage for idiopathic macular telangiectasia (MacTel) type 2blue cross blue shield - louisiana2026-09-01

    Related Codes

    HCPCS-LEVEL-II-V2211-SPHEROCYLINDER-BIFOCAL-HIGH-SPHERE

    HCPCS Level II V2211: Spherocylinder Bifocal Lens, High Sphere Range

    HCPCS-LEVEL-II-V2700-BALANCE-LENS-PER-LENS

    HCPCS Level II V2700: Balance Lens, Per Lens

    HCPCS-V2020-FRAMES-PURCHASES

    HCPCS Level II V2020: Frames, Purchases

    HCPCS-V2025-DELUXE-FRAME-VISION-APPLIANCE

    HCPCS V2025: Deluxe Frame

    HCPCS-V2100-SINGLE-VISION-SPHERE-LENS-PLANO-TO-PLUS-MINUS-4

    HCPCS V2100: Single Vision Sphere Lens, Plano to ±4.00 per Lens

    HCPCS-V2101-SINGLE-VISION-SPHERICAL-LENS-HIGH-POWER

    HCPCS Level II V2101: Sphere Single Vision High-Power Lens

    HCPCS-V2102-HIGH-POWER-SINGLE-VISION-SPHERICAL-LENS

    HCPCS V2102: Single-Vision High-Power Spherical Lens

    HCPCS-V2103-SPHEROCYLINDER-SINGLE-VISION-LENS

    HCPCS Level II V2103: Single-Vision Spherocylinder Lens, Per Lens

    HCPCS-V2104-SPHEROCYLINDER-SINGLE-VISION-LENS-PLANO-TO-4D-SPHERE-2-12-TO-4D-CYLINDER

    HCPCS V2104: Spherocylinder Single-Vision Lens, Per Lens

    HCPCS-V2105-SPHEROCYLINDER-SINGLE-VISION-LENS

    HCPCS Level II V2105: Spherocylinder Single-Vision Lens

    Showing 1–10 of 123

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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