Summary & Overview
HCPCS V2599: Contact Lens, Other Type
HCPCS Level II code V2599 designates "contact lens, other type," used for contact lenses that are not captured by more specific HCPCS supply codes. Nationally, this code matters because it captures non-standard or specialty contact lenses provided in outpatient and ambulatory eye-care settings, affecting coverage determinations, benefit design, and claims processing for vision and medical payers. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical context for use of V2599, typical sites of service, and how the code functions within billing workflows for contact lens supply. The publication covers benchmarks and billing patterns where available, payer coverage considerations, and policy or coding updates relevant to non-standard contact lens supply. It also outlines common claim use cases and where additional documentation or justification may be required by payers. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V2599 describes contact lens, other type. This code represents supply of a contact lens that does not fall under more specific contact lens HCPCS codes. The service type is the provision or supply of a contact lens for vision correction or therapeutic use. The typical site of service is outpatient eye care settings such as ophthalmology or optometry clinics, retail optical providers, and ambulatory care locations where contact lenses are dispensed.
Clinical & Coding Specifications
Clinical Context
A 28-year-old patient presents to an optometry clinic complaining of irregular vision and discomfort with conventional soft contact lenses. The patient has a history of keratoconus diagnosed by corneal topography and has been referred for specialty contact lens fitting. The clinician evaluates corneal shape, refraction, tear film, and ocular surface health, then selects a custom or specialty contact lens (scleral, rigid gas permeable, hybrid, or therapeutic bandage lens) coded as V2599 for 'Contact lens, other type.' The workflow includes an initial comprehensive eye exam, corneal measurements, trial lens fitting, patient education on insertion/removal and lens care, and follow-up visits to assess fit, visual acuity, and ocular surface response. Dispensing the custom lens and billing for the device uses V2599; separate billing occurs for professional services (eye exam, fitting) using appropriate CPT codes and for supplies or replacement lenses per payer rules.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | When the contact lens is provided for the left eye only. |
RT |