Top 20 vision and hearing procedure codes
The month of May is recognized as both Healthy Vision Month and Better Hearing and Speech Month to raise awareness of related conditions and to promote health screenings.
For this Healthcare Insight, we reviewed data from the Definitive Healthcare ClaimsMx product for the Healthcare Common Procedure Coding System (HCPCS) vision and hearing category.
What are the most common vision HCPCS codes?
In 2021, ClaimsMx tracked over 6 million vision procedures across about 120 HCPCS codes. The following table lists the most common vision HCPCS codes.
Top vision procedure HCPCS codes
||Number of procedures
||Vision services, frames purchases
||Lens polycarbonate or equal
||Lens sphere single vision, plano 4.00
||Spherocylinder, single vision 4.00d/12-2.00d
||Posterior chamber intraocular lens
||Progressive lens per lens
||Eyeglasses delux frames
||Spherocylinder, bifocal 4.00d/.1
||Tint photochromatic lens
||Lens sphere bifocal, plano 4.00d
||Contact lens hydrophilic, spherical
||Spherocylinder, single vision 4.00d/2.12-4d
||Misc vision item or service
||Scratch resistant coating
||Spherocylinder, single vision 4.25d/12-2d
||Lens spherocylinder trifocal 4.0/.12-
||Contact lens PMMA spherical
||Contact lens hydrophilic toric
Fig. 1 Data is from the Definitive Healthcare ClaimsMx product for calendar year 2021. Claims data is sourced from multiple medical claims clearinghouses in the United States and is updated monthly. Data is accurate as of April 2022.
Frame purchases (V2020 Vision services, frames purchases) had nearly 1.5 million medical claims in 2021. Different types of lenses for those frames follow in the list. Options for the lenses also appear with frequency, such as anti-reflective coating (V2750), progressive lenses (V2781) and tinting (V2744).
What are the most common hearing HCPCS codes?
There are 88 HCPCS codes for hearing services. For 2021, ClaimsMx tracked over 400,000 claims in this category. The following list shows the top audiology HCPCS codes.
Top hearing procedure HCPCS codes
||Number of procedures
||Hearing aid, digital, binaural, BTE
||Hearing aid fitting/checking
||Dispensing fee binaural
||Battery for hearing device
||Hearing aid, digital, monaural, BTE
||Assessment for hearing aid
||Hearing aid repair/modifying
||Hearing aid supplies/accessories/assisted listening devices
||Dispensing fee, monaural hearing aid
||Hearing aid, digital, binaural, ITE
||Hearing aid, digital, binaural, ITC
||Behind ear binaural hearing aid
||Hearing aid not otherwise classigied
||Hearing aid, digital, binaural, CIC
||Ear mold/insert, disposable
Fig. 2 Data is from the Definitive Healthcare ClaimsMx product for calendar year 2021. Claims data is sourced from multiple medical claims clearinghouses in the United States and is updated monthly. Data is accurate as of April 2022.
Procedure claims for digital hearing aids in 2021 reached over 91,000. The HCPCS codes for hearing aid fitting and checking (V5011), conformity evaluations (V5020), assessment for hearing aids (V5010) and hearing screenings (V5008) also appear in the list of most common audiology codes.
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