Knowledgebase: General
A Note About Insurance Procedure Codes
Posted by on 03 Jun 2014 02:30 PM

Insurance Procedure Codes are the healthcare industry standard for identifying the products and services provided to patients. Think of them as codes for products and services that are easily recognized by your insurance company, enabling them to process claims quickly so that you can be reimbursed as fast as possible.

If you were to bill your insurance company for a Varilux Comfort Poly and a Gucci 2312 frame, the claim would be rejected because your insurance company would not understand what type of products you were billing. But if you sent them a bill for:

  • V2100 Bifocal
  • V2781 Progressive
  • V2784 Polycarbonate
  • V2020 Frame

your insurance company would understand exactly which products you were billing.

You may already be familiar with some procedure codes. For example:

Medical Examination Service Procedure Codes

These codes are used throughout the US across all healthcare provider types and usually begin with a 9. For example:

  • 92014 – Comprehensive Eye Examination of an Established Patient
  • 99203 – Evaluation and Consultation of a New Patient (Medical Visit)

Surgical Service Procedure Codes

These codes are used throughout the US across most healthcare provider types and usually begin with a 6 or 7. For example:

  • 68761 – Closure of the Lacrimal Punctum, by plug (Punctal Plug Procedure)
  • 65220 – Removal of Foreign Body from the Cornea with a Slit Lamp

Vision Procedure Codes or VCodes

These codes are used throughout the US across all vision providers and begin with a V. For example:

  • V2020 – Frame
  • V2750 – Anti-Reflective Coating
  • V2520 – Soft Contact Lens, Spherical

By assigning the correct procedure codes to the products and services you provide, you will be equipped to reduce billing errors and keep your insurance accounts receivable at a minimum.

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