S05 — HCPCS Level II Codes

• S0500 Disposable contact lens, per lens billable
• S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens billable
• S0506 Bifocal vision prescription lens (safety, athletic, or sunglass), per lens billable
• S0508 Trifocal vision prescription lens (safety, athletic, or sunglass), per lens billable
• S0510 Non-prescription lens (safety, athletic, or sunglass), per lens billable
• S0512 Daily wear specialty contact lens, per lens billable
• S0514 Color contact lens, per lens billable
• S0515 Scleral lens, liquid bandage device, per lens billable
• S0516 Safety eyeglass frames billable
• S0518 Sunglasses frames billable
• S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) billable
• S0581 Nonstandard lens (list this code in addition to the basic code for the lens) billable
• S0590 Integral lens service, miscellaneous services reported separately billable
• S0592 Comprehensive contact lens evaluation billable
• S0595 Dispensing new spectacle lenses for patient supplied frame billable
• S0596 Phakic intraocular lens for correction of refractive error billable