HCPCS Code S0500: Disposable Contact Lens, Per Lens

Learn about HCPCS code S0500, which covers disposable contact lenses per lens, including billing, documentation, modifiers, and payer-specific considerations.

Use Code

Frequently asked questions

No. Medicare Part B does not cover S0500. This code is intended for billing private/commercial insurance plans and state Medicaid programs only.

Modifier use for S0500 is payer-specific. The most commonly used modifiers are LT (Left side) and RT (Right side) to specify the eye. However, they are not universally required and depend entirely on the individual payer's policy. Modifiers for durable medical equipment, such as NU or RA, are not used for disposable contact lenses.

Billing is per lens. The number of units on the claim must equal the total number of individual lenses dispensed. For example, when dispensing a 36-lens box, you must report 36 units on the claim form. Do take note that some carriers only allow 12 or 24 lenses per 90 days, so check first before reporting.