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See a sample rate comparisonHCPCS S0595 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Dispensing new spectacle lenses for patient supplied frame
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Vision Supplies |
| Common Place of Service | 11 - Office 99 - Other POS None |
| Complexity Level | Low |
National average reimbursement for HCPCS S0595 by major payers:
$16.66
$54.00
$6.24
$10.40
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HCPCS S0595
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See a sample payer proposalHCPCS S0595 vs. Other Vision Supplies Codes
The HCPCS S0595 code is part of the Temporary National Codes (Non-Medicare) services used for Vision Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS S0595 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| S0592-HCPCS | Low | Comprehensive contact lens evaluation |
| S0595-HCPCS | Low | Dispensing new spectacle lenses for patient supplied frame |
| S0596-HCPCS | Low | Phakic intraocular lens for correction of refractive error |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0595 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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