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HCPCS V2299 · Level II · V code

V2299: Specialty bifocal (by report), HCPCS Level II V code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for V2299

Medicare payment
no PFS amount
PFS status X; OPPS SI A: paid under another fee schedule or system
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
0
MAI 3
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

HCPCS Level II V2299 reads "Specialty bifocal (by report)" in the October 2026 file; it dates from 1985. The physician fee schedule lists V2299 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays V2299 under a fee schedule or payment system other than OPPS. CMS caps V2299 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Nature of Equipment); DME supplier 2 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. 1 active LCD lists V2299: L33793 (Refractive Lenses). HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 46; type of service Q (vision items or services). Nearby codes: V2300, V2303, V2308, V2310.

V2299 descriptor and code status

The October 2026 HCPCS Level II file describes V2299 as “Specialty bifocal (by report)”. It sits in the V section (vision, hearing and speech-language pathology services), listed with the other V codes. Although searches often call it the "V2299 CPT code", V2299 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of V2299
FieldValue
Short descriptorLens bifocal speciality
Added to HCPCS1985-01-01
Last actionN (no maintenance), effective 2003-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator46: DMEPOS contractor-priced (not otherwise classified, individual determination or gap-filled)
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceQ: vision items or services

Medicare payment for V2299

The physician fee schedule lists V2299 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays V2299 under a fee schedule or payment system other than OPPS. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for V2299

CMS caps V2299 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Nature of Equipment); DME supplier 2 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for V2299 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital23 Date of Service Edit: ClinicalNature of Equipment
DME supplier23 Date of Service Edit: ClinicalNature of Equipment

The MUE lookup for V2299 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists V2299 in v323r0.

V2299 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check V2299 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for V2299

1 active Local Coverage Determination and 0 billing and coding articles list V2299. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Denials to expect on V2299

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists V2299

CARC 151 · N362

units of V2299 exceed the practitioner MUE of 0 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for V2299 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for V2299 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS V2299

What does HCPCS code V2299 describe?

"Specialty bifocal (by report)" (short descriptor "Lens bifocal speciality"), in the V section (vision, hearing and speech-language pathology services). Added 1985-01-01; last action N (no maintenance) effective 2003-10-01.

Is V2299 a CPT code?

It is not. V2299 belongs to the V section (vision, hearing and speech-language pathology services) of HCPCS Level II, the CMS code set, not to AMA CPT. "V2299 CPT code" searches refer to it.

What does Medicare pay for V2299?

The physician fee schedule lists V2299 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays V2299 under a fee schedule or payment system other than OPPS.

How many units of V2299 can be billed per day?

CMS caps V2299 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Nature of Equipment); DME supplier 2 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 3), units above 0 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover V2299?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 1 active LCD lists V2299: L33793 (Refractive Lenses).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.