HCPCS V2202 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Vision Services • Lenses, Bifocals |
| Complexity Level | Low |
National average reimbursement for HCPCS V2202 by major payers:
$81.33
$47.90
$64.86
$104.18
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS V2202 | ||||||
United | V2202 | $34.27 | 1083711691 - TY COBB HEALTHCARE SYSTEM, COBB MEMORIAL HOSPITAL | 580633978 - (GA) COMMUNITY SERVICES GROUP INC | GA | Rural Acute Care Hospital (282NR1301X) |
United | V2202 | $56.49 | 1154553774 - ELIZABETH STRICKLAND | 592521287 - EYE ASSOCIATES OF TALLAHASSEE, P.A. | FL | Optometrist (152W00000X) |
United | V2202 | $56.49 | 1386886141 - DEANNA LOUIE | 592521287 - EYE ASSOCIATES OF TALLAHASSEE, P.A. | FL | Ophthalmology Physician (207W00000X) |
United | V2202 | $26.25 | 1053515130 - MIGUEL A. ARENAS, M.D., PC | 300394179 - (AZ) MIGUEL A ARENAS MD PC | AZ | Gastroenterology Physician (207RG0100X) |
United | V2202 | $56.49 | 1891453940 - SAVANA PIPPIN | 592521287 - EYE ASSOCIATES OF TALLAHASSEE, P.A. | TN | Physician Assistant (363A00000X) |
United | V2202 | $26.25 | 1548859895 - ALICIA ENCINAS | 300394179 - (AZ) MIGUEL A ARENAS MD PC | CA | Family Nurse Practitioner (363LF0000X) |
United | V2202 | $39.36 | 1548859895 - ALICIA ENCINAS | 300394179 - (AZ) MIGUEL A ARENAS MD PC | CA | Family Nurse Practitioner (363LF0000X) |
United | V2202 | $45.46 | 1073638490 - SHARRON ACOSTA M.D.P.A. | 742979530 - SHARRON ACOSTA, M.D., P.A. | TX | Ophthalmology Physician (207W00000X) |
United | V2202 | $141.29 | 1073502985 - CHU CHEN | 42484572 | MA | Pediatrics Physician (208000000X) |
United | V2202 | $56.49 | 1205060290 - FANG KO | 592521287 - EYE ASSOCIATES OF TALLAHASSEE, P.A. | FL | Ophthalmology Physician (207W00000X) |
United | V2202 | $102.27 | 1063741163 - AZTEC URGENT CARE, LLC | 271495988 - (NM) AZTEC URGENT CARE LLC | NM | Urgent Care Clinic/Center (261QU0200X) |
United | V2202 | $56.49 | 1780694620 - CARSON MEDICAL GROUP PROFESSIONAL CORPORATION | 880133501 - CARSON MEDICAL GROUP | NV | Obstetrics & Gynecology Physician (207V00000X) |
United | V2202 | $56.49 | 1679578363 - JERRY FORD | 592521287 - EYE ASSOCIATES OF TALLAHASSEE, P.A. | FL | Ophthalmology Physician (207W00000X) |
United | V2202 | $39.36 | 1548859895 - ALICIA ENCINAS | 300394179 - (AZ) MIGUEL A ARENAS MD PC | CA | Family Nurse Practitioner (363LF0000X) |
United | V2202 | $56.49 | 1275693848 - JOSHUA TRAFTON | 592521287 - EYE ASSOCIATES OF TALLAHASSEE, P.A. | FL | Optometrist (152W00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS V2202 vs. Other Lenses, Bifocals Codes
The HCPCS V2202 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 V2202 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 |
|---|---|---|
| V2201-HCPCS | Low | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
| V2202-HCPCS | Low | Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
| V2203-HCPCS | Low | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, 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 V2202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2202 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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