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See a sample rate comparisonHCPCS V2200 Fee Schedule
Last Verified: September 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.
Sphere, bifocal, plano to plus or minus 4.00d, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V2200 |
National average reimbursement for HCPCS V2200 by major payers:
$63.74
$37.74
$47.96
$78.73
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HCPCS V2200
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$275.04Published rateAugusta Vamc
$46.97Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$30.70Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$27.87Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$26.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2200 vs. Other Lenses, Bifocals Codes
The HCPCS V2200 code is part of the Vision Services services used for Lenses, Bifocals. 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 V2200 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 |
|---|---|---|
| V2199-HCPCS | Low | Not otherwise classified, single vision lens |
| V2200-HCPCS | Low | Sphere, bifocal, plano to plus or minus 4.00d, per lens |
| V2201-HCPCS | Low | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2200 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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