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See a sample rate comparisonHCPCS V2218 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.
Aniseikonic, per lens, bifocal
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V2218 |
National average reimbursement for HCPCS V2218 by major payers:
$121.75
$74.71
$99.69
$161.79
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HCPCS V2218
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$296.10Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$102.19Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$60.56Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$55.00Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$40.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2218 vs. Other Lenses, Bifocals Codes
The HCPCS V2218 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 V2218 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 |
|---|---|---|
| V2215-HCPCS | Low | Lenticular (myodisc), per lens, bifocal |
| V2218-HCPCS | Low | Aniseikonic, per lens, bifocal |
| V2219-HCPCS | Low | Bifocal seg width over 28mm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2218. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2218 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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