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Healthcare Common Procedure Coding System (HCPCS)

Options for AcrySof® Intraocular Lenses used in Cataract Surgery

HCPCS Code

IOL Model

CMS Payment Category

V2632 - Posterior chamber intraocular lens SN60AT
MN60AC
MA30AC
MA60AC
MA50BM
MN60MA
MA60MA
AU00T0
SA60AT
SA60WF
SN60WF
SN60WS
SN6CWS
CZ70BD
Packaged service/item; no separate payment
made
V2630 - Anterior chamber intraocular lens MTA3U0
MTA4U0
MTA5U0
Packaged service/item; no separate payment
made
V2787 - Astigmatism-correcting function of
intraocular lens
(Covered conventional IOL component may be
reported as V2632)
SA60T5
SA6AT3
SA6AT4
SA6AT5
SA6AT6
SA6AT7
SA6AT8
SA6AT9
SN6AT3
SN6AT4
SN6AT5
SN6AT6
SN6AT7
SN6AT8
SN6AT9
SN60T5
Two-aspect reimbursement; See Ruling CMS-
1536-R regarding patient responsibility for
astigmatism-correcting IOLs
V-2788 - Presbyopia-correcting function of
intraocular lens
(Covered conventional IOL component may be
reported as V2632)
SN6AD1
SN6AD3
MN6AD1
SND1T2
SND1T3
SND1T4
SND1T5
SND1T6
SV25T0
SV25T3
SV25T4
SV25T5
SV25T6
SA25T0
SA6AD1
Two-aspect reimbursement; See Ruling
CMS-05-01 regarding patient responsibly for
presbyopia correction IOLs

For models not listed, please contact ARS at (866) 457-0277 or use the Contact ARS form.

Reference: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Downloads/PCIOL-ACIOL.pdf