S0581 HCPCS code: Nonstandard lens (list this code in addition to the basic code for the lens)
S0581 is the HCPCS Level II code for nonstandard lens (list this code in addition to the basic code for the lens). Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | S codes — Temporary national codes (non-Medicare) |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2001-07-01 |
| Last action effective | 2001-07-01 |
What changed for S0581
- 2001-07-01: S0581 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code S0581?
S0581 is the HCPCS Level II code for nonstandard lens (list this code in addition to the basic code for the lens). Short descriptor: "Nonstnd lens".
Does Medicare cover S0581?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S05 codes
- S0500 — Disposable contact lens, per lens
- S0504 — Single vision prescription lens (safety, athletic, or sunglass), per lens
- S0506 — Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
- S0508 — Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
- S0510 — Non-prescription lens (safety, athletic, or sunglass), per lens
- S0512 — Daily wear specialty contact lens, per lens
- S0514 — Color contact lens, per lens
- S0515 — Scleral lens, liquid bandage device, per lens
- S0516 — Safety eyeglass frames
- S0518 — Sunglasses frames
- S0580 — Polycarbonate lens (list this code in addition to the basic code for the lens)
- S0590 — Integral lens service, miscellaneous services reported separately
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Next steps
- Run a reimbursement report for a device billed under S0581
- Watch S0581 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S0581
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.