V2201 Lens sphere bifocal 4.12-7.0
Also known as: Bifocal lens, Reading lens
Lens spherical bifocal, 4.12 to 7.00 diopter sphere. Bifocal corrective lens for presbyopia with moderate sphere power.
In Plain Language
Two-power lens for distance and reading; Bifocal reading lens
Clinical Context
Medicare/Medicaid coverage for spherical bifocal corrective lenses correcting presbyopia with moderate refractive power.
RVU Information
CPT V2201 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
V-codes cover vision services, supplies, and equipment including lenses, frames, and hearing aids. A valid prescription from an authorized provider is required. Document the specific product dispensed, measurements, and clinical indication.
Specialties
Frequently Asked Questions
What is CPT code V2201?
CPT V2201 (Lens sphere bifocal 4.12-7.0) is a V Codes (Vision) code. Lens spherical bifocal, 4.12 to 7.00 diopter sphere. Bifocal corrective lens for presbyopia with moderate sphere power.
Does Medicare cover V2201?
Medicare coverage for V2201 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicare/Medicaid coverage for spherical bifocal corrective lenses correcting presbyopia with moderate refractive power. A physician order is typically required.
When is CPT V2201 used?
Medicare/Medicaid coverage for spherical bifocal corrective lenses correcting presbyopia with moderate refractive power.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.