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PAYER POLICY CHANGES

V2524 Insurance Policy Changes

HCPCS V2524 is officially defined as "Contact lens, hydrophilic, spherical, photochromic additive, per lens." HCPCS V2524 is referenced in 1 tracked payer policy change from Medicare/CMS - Transmittals. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS V2524 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • Ambetter · Effective December 31, 2025

    Prior authorization required

    Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements

  • Arizona Complete Health · Effective December 31, 2025

    Prior authorization required

    Arizona Complete Health CMS-0057-F prior authorization requirements

  • Carolina Complete Health · Effective December 31, 2025

    Prior authorization required

    Carolina Complete Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for V2524?

Ambetter lists V2524 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does AmeriHealth Caritas require prior authorization for V2524?

AmeriHealth Caritas lists V2524 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for V2524?

Arizona Complete Health lists V2524 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Carolina Complete Health require prior authorization for V2524?

Carolina Complete Health lists V2524 on Carolina Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS V2524?

There are 1 tracked policy change affecting HCPCS V2524, including updates from Medicare/CMS - Transmittals. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS V2524?

Payers that have issued tracked updates for HCPCS V2524 include: Medicare/CMS - Transmittals.

How do I get notified when HCPCS V2524 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS V2524. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS V2524?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for V2524

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for V2524 in one place.

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RELATED

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