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See a sample rate comparisonHCPCS V2512 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.
Contact lens, gas permeable, bifocal, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Assorted Contact Lenses |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for V2512 |
National average reimbursement for HCPCS V2512 by major payers:
$218.37
$141.35
$195.74
$199.17
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HCPCS V2512
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$623.08Published rateEye Associates Of Tallahassee, P.A.
$161.83Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$152.92Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$112.80Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$75.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2512 vs. Other Assorted Contact Lenses Codes
The HCPCS V2512 code is part of the Vision Services services used for Assorted Contact Lenses. 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 V2512 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 |
|---|---|---|
| V2511-HCPCS | Low | Contact lens, gas permeable, toric, prism ballast, per lens |
| V2512-HCPCS | Moderate | Contact lens, gas permeable, bifocal, per lens |
| V2513-HCPCS | Moderate | Contact lens, gas permeable, extended wear, 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 V2512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2512 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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