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HCPCS V2522 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, hydrophillic, bifocal, per lens
Key FactDetail
Service Type

Vision Services

Assorted Contact Lenses

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for V2522

National average reimbursement for HCPCS V2522 by major payers:

bcbs

$207.94

uhc

$131.57

aetna

$178.88

cigna

$174.50

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS V2522.

HCPCS V2522
5 of 25 sample ratesHigher to lower in this preview
  1. Emory Crawford Long Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1225281603Tax ID 58-2030692

    $587.44Published rate
  2. Aztec Urgent Care, LLC

    Aztec Urgent Care LLC

    NMUrgent Care Clinic/CenterNPI 1063741163Tax ID 27-1495988

    $159.38Published rate
  3. Tanner Medical Center, Inc, Tanner Health System

    Tanner Medical Center Inc

    GAGeneral Acute Care HospitalNPI 1801883780Tax ID 58-1790149

    $105.80Published rate
  4. Hospital Authority Of Candler County, Candler County Hospital

    GACritical Access HospitalNPI 1790888089Tax ID 58-6004640

    $101.38Published rate
  5. Wildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital

    Wildwood Sanitarium Incorporated

    GAGeneral Acute Care HospitalNPI 1235153883Tax ID 58-6039864

    $70.54Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS V2522 vs. Other Assorted Contact Lenses Codes

The HCPCS V2522 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 V2522 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.

CodeComplexityDescription
V2521-HCPCSModerateContact lens, hydrophilic, toric, or prism ballast, per lens
V2522-HCPCSModerateContact lens, hydrophillic, bifocal, per lens
V2523-HCPCSLowContact lens, hydrophilic, 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 V2522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the V2522 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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