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See a sample rate comparisonHCPCS V2221 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.
Lenticular lens, per lens, bifocal
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V2221 |
National average reimbursement for HCPCS V2221 by major payers:
$106.33
$63.61
$88.74
$132.50
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HCPCS V2221
5 of 25 sample ratesHigher to lower in this preview
Atl Colorectal Surgery
$130.72Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$78.31Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$52.88Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$50.29Published rateAlicia Encinas
Miguel A Arenas Md PC
$35.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2221 vs. Other Lenses, Bifocals Codes
The HCPCS V2221 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 V2221 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 |
|---|---|---|
| V2220-HCPCS | Low | Bifocal add over 3.25d |
| V2221-HCPCS | Low | Lenticular lens, per lens, bifocal |
| V2299-HCPCS | Low | Specialty bifocal (by report) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2221. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2221 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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