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    v1.0.28
    OpenPayerBilling CodesVision ServicesHCPCS hcpcs-v2799-vision-item-service-miscellaneous
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    HCPCS Level II V2799: Vision Item or Service, Miscellaneous

    HCPCS Level II code V2799 represents a miscellaneous vision item or service and is used for billing vision-related supplies or interventions that do not have a specific HCPCS Level II code; the service type is vision item or service and the typical site of service is eye care settings or outpatient clinics where nonstandard or miscellaneous vision products or services are provided.

    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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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A patient presents to an outpatient ophthalmology clinic with difficulty reading and complaints of glare and visual distortion. The ophthalmic technician performs a vision evaluation and determines that a specific, nonstandard vision-related item or service is required that does not map to an existing HCPCS code for lenses or standard eyeglass materials. The clinic documents the clinical indication (for example, post-cataract refractive adjustment, custom tinted diagnostic lens, or specialized contact lens fitting aid) and bills the miscellaneous vision item using V2799 to capture the discrete supply or service.

    Typical workflow: the provider documents the clinical necessity in the chart, the ophthalmic supply staff obtains the item or provides the special service during the visit, and the billing team appends relevant modifiers (for example, 52 for reduced services if a partial fitting was performed, LT or RT to indicate laterality when applicable, and NU if the item is a new equipment purchase). Supporting CPT or ICD-10 codes for the underlying eye condition accompany the claim to establish medical necessity for payors such as Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92004Comprehensive ophthalmological evaluation, new patient; with initiation of diagnostic and treatment programsPerformed before ordering or providing specialized vision items when a complete new-patient exam is required.
    92014Comprehensive ophthalmological evaluation, established patient; with initiation or continuation of diagnostic and treatment programsPerformed during follow-up visits that lead to ordering or adjusting nonstandard vision items.
    92310Prescription of optical and physical characteristics of and fitting of contact lens, except for aphakic patient; corneal lensMay be performed when the miscellaneous vision item is a specialty contact lens or related fitting service.
    92399Unlisted ophthalmological service or procedure (fitting and management)Billed when the specific fitting/service has no precise CPT code and accompanies V2799 for the nonstandard item.
    99070Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit or procedureUsed for clinic-supplied materials or disposables associated with the miscellaneous vision item billed under .

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    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…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    103K00000XBehavior AnalystA behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential …
    207W00000XOphthalmology PhysicianAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically train…
    208000000XPediatrics PhysicianA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
    363L00000XNurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
    2083T0002XMedical Toxicology (Preventive Medicine) PhysicianMedical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to dr…
    363AM0700XMedical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers · Physician Assistant
    251V00000XVoluntary or Charitable AgencyAgencies · Voluntary or Charitable
    207RH0005XHypertension Specialist PhysicianA Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.

    Related ICD-10-CM Codes

    16 rows

    ICD-10-CM CodeDescription
    E11.9Type 2 diabetes mellitus without complications
    H04.121Dry eye syndrome of right lacrimal gland
    H10.9Unspecified conjunctivitis
    H16.9Unspecified keratitis
    H18.9Unspecified disorder of cornea
    H25.9Unspecified age-related cataract
    H26.9Unspecified cataract
    H35.52Pigmentary retinal dystrophy
    H40.9Unspecified glaucoma
    H43.9Unspecified disorder of vitreous body

    Showing 1–10 of 16

    Related Payer Policy Updates

    Specialty: Ophthalmology/Optometry1 / 2

    10 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
    Glaucoma ProstaglandinsCigna2026-08-15
    Corneal Cross‑linking (CXL) Procedurehusky_health2026-08-01
    Corneal surgical procedures (excluding corneal collagen cross-linking)husky_health2026-08-01
    Intracanalicular and Intravitreal Corticosteroid ImplantsUnitedHealthcare2026-08-01
    Eye Optical Coherence TomographyPremera Bluecross2026-08-01
    Susvimo (ranibizumab) intravitreal implant — Medical Benefit Drug PolicyUnitedHealthcare2026-08-01

    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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    V2799