Name that HCPCS!
(CPTs and Modifiers)
(DX codes)
EyeMed
VSP
100

The HCPCS code for a frame that is required by EyeMed and DME. 

What is V2025 Deluxe Frame?

100

The CPT code always used when filing contact lenses to EyeMed.

What is S0500?

100

The 3 digit category code that represents all routine vision diagnosis codes for refractive errors.

What is H52?

100

If the Contact Lens fit was Spherical, EyeMed considers the fit to be this.

What is a Standard Fit?

100

The two plan names that most VSP patients fall under. 

What is Signature and Choice?

200

The HCPCS code for the most popular material type that ensures lenses are shatter resistant. 

What is V2784 Polycarbonate?

200

The CPT code used to describe the surgery to remove a cataract.

What is 66984?

200

The diagnosis code for a patient with a positive (+) in the right eye under the Sphere column.

What is H52.01?

200

Optomaps (S9986) should always be filed as this on EyeMed's website.

What is 92250-52?

200

The person you need to search to find a patient on VSP's website.

What is the Insured?

300

The HCPCS code for the add-on that helps reduce glare, reflections, and halos. Especially helpful for night driving.

What is V2750 AR?

300

The modifier needed to file 92134 and 92250 together.

What is 59?

300

The 3 digit category code for cataract.

What is H25?

300

The only line item that should be on the claim for an EyeMed medical exam coordination. 

What is the refraction (92015)?

300

The amount ($) the patient will pay if their contact lens and contact lens fit benefit are separate.

What is $60?

400

The HCPCS code for the coating applied to the lenses that reflects UV rays from behind. 

What is V2755 UV?

400

The modifier needed when the patient's second surgery occurs within the 90 day global period of the first surgery.

What is 79?

400

The diagnosis code for Presbyopia.

What is H52.4?

400

The phrase required in line 19 and at the top of a coordination to EyeMed

What is Refraction Only?

400

For Contact Lens Fits, providers are always obligated to take a write-off of this percentage.

What is 15%?

500

The HCPCS code for the add-on that darkens lenses when exposed to sunlight?

What is V2744 AR?

500

The modifier needed for a separate billable exam within the global period following surgery.

What is 24?

500

The four exclusionary diagnosis codes that will never support medical testing. 

What is H52, H25, H04, Z96.1?

500

If the Contact Lens fit was Toric, EyeMed considers the fit to be this. 

What is a Premium Contact Lens Fit?

500

This type of VSP plan will cover a medical exam coordination.

What is VSP EMEC (Essential Medical Eye Care)?

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