V2525: Contact lens, hydrophilic, dual focus, per lens
V2525 is a HCPCS Level II code for contact lens, hydrophilic, dual focus, per lens. It belongs to the Vision, Hearing and Speech-Language Pathology section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Non-covered by Medicare
Medicare does not cover the item or service this code describes.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusN
Non-covered service. Medicare does not cover it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits: units per day
The most units of V2525 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 2 units MAI 3: Date of Service Edit: Clinical · Anatomic Consideration
- outpatient
- 2 units MAI 3: Date of Service Edit: Clinical · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for V2525
- Long descriptor
- Contact lens, hydrophilic, dual focus, per lens
- Short descriptor
- Cl, hydrophilic, dual focus
- Added
- April 1, 2022
- BETOS
- Z2
- Pricing indicator
- 00: Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Service not separately priced by Part B, not covered, bundled into another service, or used by Part A only.
Codes adjacent to V2525
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If V2525 is not quite right, the correct code is very often within a few positions of it.
- V2511Contact lens, gas permeable, toric, prism ballast, per lens
- V2512Contact lens, gas permeable, bifocal, per lens
- V2513Contact lens, gas permeable, extended wear, per lens
- V2520Contact lens, hydrophilic, spherical, per lens
- V2521Contact lens, hydrophilic, toric, or prism ballast, per lens
- V2522Contact lens, hydrophilic, bifocal, per lens
- V2523Contact lens, hydrophilic, extended wear, per lens
- V2524Contact lens, hydrophilic, spherical, photochromic additive, per lens
- V2526Contact lens, hydrophilic, with blue-violet filter, per lens
- V2530Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)
- V2531Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)
- V2599Contact lens, other type
- V2600Hand held low vision aids and other nonspectacle mounted aids
- V2610Single lens spectacle mounted low vision aids
- V2615Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system
- V2623Prosthetic eye, plastic, custom