V2500 — Contact lens, pmma, spherical, per lens
V2500 is a HCPCS Level II code for contact lens, pmma, spherical, per lens. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V2500 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
- DME supplier
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for V2500
- Long descriptor
- Contact lens, pmma, spherical, per lens
- Short descriptor
- Contact lens pmma spherical
- Added
- January 1, 1985
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to V2500
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2500 is not quite right, the correct code is very often within a few positions of it.
- V2318Aniseikonic lens, trifocal
- V2319Trifocal seg width over 28 mm
- V2320Trifocal add over 3.25d
- V2321Lenticular lens, per lens, trifocal
- V2399Specialty trifocal (by report)
- V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens
- V2430Variable asphericity lens, bifocal, full field, glass or plastic, per lens
- V2499Variable sphericity lens, other type
- V2501Contact lens, pmma, toric or prism ballast, per lens
- V2502Contact lens, pmma, bifocal, per lens
- V2503Contact lens, pmma, color vision deficiency, per lens
- V2510Contact lens, gas permeable, spherical, per lens
- V2511Contact lens, gas permeable, toric, prism ballast, per lens
- V2512Contact lens, gas permeable, bifocal, per lens
- V2513Contact lens, gas permeable, extended wear, per lens
- V2520Contact lens, hydrophilic, spherical, per lens
Questions about V2500
What is HCPCS code V2500?
V2500 is a HCPCS Level II code for contact lens, pmma, spherical, per lens. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2500?
The CMS HCPCS file marks V2500 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is V2500 paid under the physician fee schedule?
V2500 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.