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See a sample rate comparisonHCPCS V2531 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, scleral, gas permeable, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Assorted Contact Lenses |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for V2531 |
National average reimbursement for HCPCS V2531 by major payers:
$597.44
$355.36
$497.15
$517.34
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HCPCS V2531
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$1,109.50Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$441.64Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$327.85Published rateBrooks County Hospital
$297.69Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$218.58Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2531 vs. Other Assorted Contact Lenses Codes
The HCPCS V2531 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 V2531 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 |
|---|---|---|
| V2530-HCPCS | Moderate | Contact lens, scleral, gas impermeable, per lens |
| V2531-HCPCS | Moderate | Contact lens, scleral, gas permeable, per lens |
| V2599-HCPCS | Low | Contact lens, other type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2531. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2531 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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