HCPCS Code V2750: Anti-Reflective Coating for Lenses

Use HCPCS V2750 to bill anti-reflective coating per lens for glasses or contact lenses; ensure medical necessity and proper modifiers for coverage.

Use Code

## **What is HCPCS V2750?** HCPCS Code V2750 is defined as “anti-reflective coating, per lens.” It falls under the Vision Services category and is maintained by the Centers for Medicare & Medicaid Services (CMS). This code is used to report the application of an anti-reflective coating to prescription spectacle lenses or contact lenses and is billed per lens. An anti-reflective coating (AR coating) is applied to lenses to reduce glare and reflections, improve visual clarity, and enhance patient comfort. Under Medicare policy, V2750 is considered a lens enhancement under the refractive lenses benefit and is covered only when medically necessary as defined by the Medicare refractive lenses Local Coverage Determination (LCD). Unlike durable medical equipment (DME) items, which are billed with DME-specific modifiers (e.g., NU, RA), V2750 is billed as a vision service and must follow the rules for refractive lens-specific modifiers. Providers should ensure that claims for V2750 are supported by proper documentation from the treating practitioner, including the qualifying diagnosis and medical justification. When coverage criteria are not met but the patient elects to receive the coating, an Advance Beneficiary Notice (ABN) must be issued, and the appropriate modifier must be appended to the claim. Each coated lens should be billed as a separate line item, accompanied by appropriate RT/LT modifiers to indicate laterality, ensuring accurate claim adjudication.

## **HCPCS Code V2750 documentation requirements** To ensure Medicare coverage and proper claims adjudication, documentation for HCPCS Code V2750 must support medical necessity and follow the refractive lenses LCD criteria. ### **Treating practitioner documentation** The treating practitioner must provide clinical documentation demonstrating medical necessity for the anti-reflective coating. This should include the patient’s diagnosis, relevant ocular findings, and justification that the coating is reasonable and necessary (e.g., for aphakic beneficiaries or when glare control is medically indicated). ### **Medical necessity and KX modifier** When coverage criteria are met, the KX modifier must be appended to the claim to indicate that documentation supporting medical necessity is on file. Claims submitted without the KX modifier may be denied. ### **Non-covered services and ABN** If the service does not meet Medicare coverage criteria but the patient requests it, an Advance Beneficiary Notice of Noncoverage must be issued. In this case, append the GA modifier (if ABN on file) or GZ modifier (if no ABN obtained) to indicate the service is expected to be denied as non-covered. ### **Sunglass and cosmetic use** An anti-reflective coating provided solely for cosmetic or sunglass purposes is considered non-medically necessary and is not covered by Medicare. ### **Record retention** Suppliers must maintain all supporting documentation, including the standard written order, diagnosis, ABN (if applicable), and proof of delivery, for audit and compliance purposes.

## **HCPCS Code V2750 billing requirements** Proper billing of HCPCS Code V2750 ensures accurate reimbursement and compliance with Medicare policy for lens enhancements. ### **Per-lens billing** Bill V2750 per lens. If both lenses receive anti-reflective coating, submit two units or use separate claim lines with the appropriate RT and LT modifiers to indicate laterality. ### **Modifiers** Correct modifier use is essential for proper claim adjudication: - **KX modifier**: Append when medical necessity criteria are met and documentation is on file. - **GA/GZ modifiers**: Use when the service is expected to be denied as non-covered (with or without ABN, respectively). - **Do not use NU/RA modifiers**, as they apply to DME equipment and not spectacle lens enhancements. ### **Diagnosis codes** Include only ICD-10-CM codes that support coverage under the refractive lenses LCD (e.g., aphakia, presence of intraocular lens). Claims with non-qualifying codes will be denied. ### **Claim accuracy** Submit the correct number of units based on the number of lenses coated and ensure the date of service and place of service codes match the dispensing location. ### **Payer-specific rules** Medicaid and commercial payer policies may require prior authorization or additional documentation (e.g., invoices). Verify requirements with the payer before claim submission.

## **Other related codes** - **V2745** - Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens - **V2755** - U-V lens, per lens - **V2760** - Scratch resistant coating, per lens - **V2761** - Mirror coating, any type, solid, gradient or equal, any lens material, per lens - **V2762** - Polarization, any lens material, per lens