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

HCPCS Code Code description Number of procedures
V2020 Vision services, frames purchases 1,479,943
V2784 Lens polycarbonate or equal 698,890
V2100 Lens sphere single vision, plano 4.00 580,263
V2103 Spherocylinder, single vision 4.00d/12-2.00d 553,690
V2750 Anti-reflective coating 431,831
V2632 Posterior chamber intraocular lens 391,257
V2781 Progressive lens per lens 295,818
V2025 Eyeglasses delux frames 293,223
V2203 Spherocylinder, bifocal 4.00d/.1 235,086
V2744 Tint photochromatic lens 192,043
V2200 Lens sphere bifocal, plano 4.00d 165,138
V2520 Contact lens hydrophilic, spherical 101,969
V2755 UV lens 100,972
V2104 Spherocylinder, single vision 4.00d/2.12-4d 86,134
V2799 Misc vision item or service 59,371
V2760 Scratch resistant coating 58,683
V2107 Spherocylinder, single vision 4.25d/12-2d 56,081
V2303 Lens spherocylinder trifocal 4.0/.12- 44,830
V2500 Contact lens PMMA spherical 41,517
V2521 Contact lens hydrophilic toric 41,239

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

HCPCS Code Code description Number of procedures
V5261 Hearing aid, digital, binaural, BTE 91,472
V5011 Hearing aid fitting/checking 51,581
V5160 Dispensing fee binaural 43,512
V5266 Battery for hearing device 37,819
V5020 Conformity evaluation 28,671
V5264 Ear mold/insert 27,789
V5257 Hearing aid, digital, monaural, BTE 24,972
V5010 Assessment for hearing aid 24,137
V5014 Hearing aid repair/modifying 21,032
V5008 Hearing screening 19,527
V5275 Ear impression 14,710
V5267 Hearing aid supplies/accessories/assisted listening devices 11,006
V5241 Dispensing fee, monaural hearing aid 6,976
V5299 Hearing service 5,785
V5260 Hearing aid, digital, binaural, ITE 4,488
V5259 Hearing aid, digital, binaural, ITC 4,046
V5140 Behind ear binaural hearing aid 3,632
V5298 Hearing aid not otherwise classigied 2,893
V5258 Hearing aid, digital, binaural, CIC 2,884
V5265 Ear mold/insert, disposable 2,250

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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