V2525 HCPCS code: Contact lens, hydrophilic, dual focus, per lens
V2525 is the HCPCS Level II code for contact lens, hydrophilic, dual focus, per lens. Its Medicare coverage code is M (Non-covered by Medicare): Medicare does not cover this item or service. The NCCI unit limit is 2 per day on outpatient hospital claims.
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 | Z2 |
| Added | 2022-04-01 |
| Last action effective | 2022-10-01 |
Related codes Medicare does pay
Medicare does not pay under V2525. These codes in the same V25 family carry a current DMEPOS fee:
- V2500 — Contact lens, pmma, spherical, per lens: $99.50–$387.16
- V2501 — Contact lens, pmma, toric or prism ballast, per lens: $151.57–$435.59
- V2502 — Contact lens, pmma, bifocal, per lens: $186.72–$434.08
- V2503 — Contact lens, pmma, color vision deficiency, per lens: $171.97–$241.70
- V2510 — Contact lens, gas permeable, spherical, per lens: $135.83–$387.16
- V2511 — Contact lens, gas permeable, toric, prism ballast, per lens: $195.17–$434.08
- V2512 — Contact lens, gas permeable, bifocal, per lens: $230.62–$434.08
- V2513 — Contact lens, gas permeable, extended wear, per lens: $193.62–$387.16
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Anatomic Consideration |
| practitioner claims | 2 | Anatomic Consideration |
What changed for V2525
- 2022-04-01: V2525 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 V2525?
V2525 is the HCPCS Level II code for contact lens, hydrophilic, dual focus, per lens. Short descriptor: "Cl, hydrophilic, dual focus".
Does Medicare cover V2525?
Coverage code M — Non-covered by Medicare. Medicare does not cover this item or service.
Which related codes does Medicare pay instead of V2525?
Codes in the same V25 family with a DMEPOS fee include V2500 ($99.50–$387.16), V2501 ($151.57–$435.59), V2502 ($186.72–$434.08). Check the item matches the code's descriptor before billing.
How many units of V2525 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related V25 codes
- V2500 — Contact lens, pmma, spherical, per lens ($99.50–$387.16)
- V2501 — Contact lens, pmma, toric or prism ballast, per lens ($151.57–$435.59)
- V2502 — Contact lens, pmma, bifocal, per lens ($186.72–$434.08)
- V2503 — Contact lens, pmma, color vision deficiency, per lens ($171.97–$241.70)
- V2510 — Contact lens, gas permeable, spherical, per lens ($135.83–$387.16)
- V2511 — Contact lens, gas permeable, toric, prism ballast, per lens ($195.17–$434.08)
- V2512 — Contact lens, gas permeable, bifocal, per lens ($230.62–$434.08)
- V2513 — Contact lens, gas permeable, extended wear, per lens ($193.62–$387.16)
- V2520 — Contact lens, hydrophilic, spherical, per lens ($119.79–$387.16)
- V2521 — Contact lens, hydrophilic, toric, or prism ballast, per lens ($214.82–$435.59)
- V2522 — Contact lens, hydrophilic, bifocal, per lens ($216.33–$435.59)
- V2523 — Contact lens, hydrophilic, extended wear, per lens ($178.06–$388.84)
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Next steps
- Run a reimbursement report for a device billed under V2525
- Watch V2525 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2525
Sources: CMS HCPCS Level II release October 2025; 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.