V2025 HCPCS code: Deluxe frame
V2025 is the HCPCS Level II code for deluxe frame. Its Medicare coverage code is M (Non-covered by Medicare): Medicare does not cover this item or service.
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | M — Non-covered by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1992-01-01 |
| Last action effective | 2003-10-01 |
Related codes Medicare does pay
Medicare does not pay under V2025. These codes in the same V20 family carry a current DMEPOS fee:
- V2020 — Frames, purchases: $58.09–$120.89
Medicare policy articles for this code
- A52499: Refractive Lenses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (6 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| H27.00 | Aphakia, unspecified eye | 1 |
| H27.01 | Aphakia, right eye | 1 |
| H27.02 | Aphakia, left eye | 1 |
| H27.03 | Aphakia, bilateral | 1 |
| Q12.3 | Congenital aphakia | 1 |
| Z96.1 | Presence of intraocular lens | 1 |
What changed for V2025
- 1992-01-01: V2025 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 V2025?
V2025 is the HCPCS Level II code for deluxe frame. Short descriptor: "Eyeglasses delux frames".
Does Medicare cover V2025?
Coverage code M — Non-covered by Medicare. Medicare does not cover this item or service.
Which related codes does Medicare pay instead of V2025?
Codes in the same V20 family with a DMEPOS fee include V2020 ($58.09–$120.89). Check the item matches the code's descriptor before billing.
Which diagnoses support coverage for V2025?
Medicare policy articles that cite V2025 list 6 covered ICD-10-CM diagnosis codes across 1 article. The most cited include H27.00 (Aphakia, unspecified eye), H27.01 (Aphakia, right eye), H27.02 (Aphakia, left eye). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Related V20 codes
- V2020 — Frames, purchases ($58.09–$120.89)
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Next steps
- Run a reimbursement report for a device billed under V2025
- Watch V2025 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2025
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.