HCPCS Code V2020: Frames, Purchases

Learn more about HCPCS code V2020 which covers spectacle frame purchases. Read this short guide to improve billing accuracy.

Use Code

## **What is HCPCS code V2020?** HCPCS code V2020 refers to "Frames, purchases" within the category of spectacle frames. It is a Level II HCPCS code maintained by CMS and used for billing purposes, primarily by Medicare and other health insurance providers. This code specifically identifies the purchase of standard spectacle frames. HCPCS code V2020 specifically refers to the purchase of standard spectacle frames only. Lens features such as resistant coatings, single vision, toric or prism ballast lenses, and various lens materials are billed separately under distinct HCPCS codes dedicated to lenses. Medicare allows billing of this code for glasses furnished after cataract surgery, generally paying for a standard frame under this code. It falls under the range of HCPCS vision services codes (V2020-V2025) related to different types of frames. HCPCS Level II codes like V2020 are alpha-numeric and used to report products, supplies, and services not covered by CPT codes, mainly for medical equipment and supplies outside physicians' services. These can include vision telescopes, fresnell prism, and other compound lens system designs such as distance vision telescopic or low vision aids.

## **HCPCS code V2020 documentation requirements** HCPCS Code V2020 applies to spectacle frames and requires documentation that meets CMS standards for durable medical equipment. Providers must ensure the records demonstrate medical necessity and compliance with Medicare Local Coverage Determinations (LCDs) when applicable. Required documentation may include: - A valid prescription or written order from a licensed eye care professional - Patient-specific clinical information supporting the need for frames (for example, post-cataract surgery) - A description of the item’s purpose and clinical use - Relevant patient details that substantiate medical necessity - Product brochures, manufacturer specifications, or FDA approval documentation for new, specialized, or modified frames - References to applicable HCPCS codes if specialized lenses or features (such as prism ballast or compound designs) are involved Careful and accurate documentation ensures compliance with CMS billing requirements and facilitates appropriate reimbursement from Medicare and other payers.

## **V2020 billing guidelines** When submitting claims, take note of the following: - Use modifier NU to indicate new equipment if the patient has no prior frames. - Use modifier RA for replacement frames. - Indicate the quantity accurately (e.g., "1" or "2" depending on frames furnished). - Enter usual and customary charges in the appropriate claim field. - If applicable, CPT codes for lens fitting (such as 92340-92353) may be billed alongside V2020. - Ensure proper diagnosis codes, such as ICD-10, are included on the claim to support medical necessity. - Bill each item on separate claim lines when billing for bilateral items. Medicare reimburses for standard frames under V2020, with any amount exceeding the Medicare allowable billed under V2025 without modifiers.

## **Other relevant codes** Other relevant HCPCS codes include: - **V2530** - Contact lens, scleral, gas impermeable, per lens - **V2503** - Contact lens, PMMA, color vision deficiency, per lens - **V2512** - Contact lens, gas permeable, bifocal, per lens - **V2513** - Contact lens, gas permeable, extended wear, per lens - **V2790** -Amniotic membrane for surgical reconstruction, per procedure - **V2797**- Vision supply, accessory and/or service component of another HCPCS vision code

Frequently asked questions

HCPCS V2020 is the code used for billing "Frames, purchases," referring to standard spectacle frames for vision correction, including frames for lenses with prism ballast or fresnell prism.

V2020 is for standard frames, while V2025 is for deluxe or more expensive frames.

ICD-10 diagnosis codes related to eyeglasses often include H52.4 (Presbyopia) or other refractive errors depending on the patient's condition.