`S0500` Dispos cont lens

Disposable contact lens, per lens

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S0500

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S0500

1 of 1 payer prior-auth lists that name S0500 require prior authorization or set conditions: UnitedHealthcare Community Plan.

Payer	Plan	State	Prior auth	Conditions	Since	Source
UnitedHealthcare Community Plan	UnitedHealthcare Community Plan of Hawaii (QUEST Integration)	HI	prior auth required		Oct 1, 2026	Prior authorization requirements for UnitedHealthcare Community Plan of Hawaii Effective October 1, 2026

Payer coverage policies that name S0500

S0500 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Contact Lenses and Eyeglasses (0126)	covered if criteria are met	Mar 26, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

CO: $36.26 (health_first_colorado), effective Jul 1, 2026
KS: $2.25 (default, Exempt Physician), effective Jan 1, 2002
ND: $0.00 (physician), effective Aug 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

S0500 Dispos cont lens