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Ask a Rev Cycle Expert: Billing for Contact Lenses?


We are billing HCPCS code V2520 Contact lens, hydrophilic, spherical, per lens and are submitting 2 boxes of 6 lenses each with a quantity of 12. We are getting denials that we are over the Medically Unlikely Edit (MUE) established for the HCPCS code. Should we be billing per box?


Billing per each is correct. Medicare will only cover one pair of contact lenses furnished after cataract surgery. Otherwise, contacts are not a covered Medicare benefit and should be self-pay.

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