S0580 – Polycarbonate lens (list this code in addition to the basic code for the lens)
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS0580
- Long description
- Polycarbonate lens (list this code in addition to the basic code for the lens)
- Short description
- Polycarb lens
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
INot payable by Medicare- BETOS category
Z2Undefined codes- Added
- July 1, 2001
- Last change
- July 1, 2001 – No change
Frequently asked questions
What is HCPCS code S0580?
S0580 is a HCPCS Level II code for polycarbonate lens (list this code in addition to the basic code for the lens).
Does Medicare cover S0580?
The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby S codes
- S0506 – Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
- S0508 – Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
- S0510 – Non-prescription lens (safety, athletic, or sunglass), per lens
- S0512 – Daily wear specialty contact lens, per lens
- S0514 – Color contact lens, per lens
- S0515 – Scleral lens, liquid bandage device, per lens
- S0516 – Safety eyeglass frames
- S0518 – Sunglasses frames
- S0581 – Nonstandard lens (list this code in addition to the basic code for the lens)
- S0590 – Integral lens service, miscellaneous services reported separately
- S0592 – Comprehensive contact lens evaluation
- S0595 – Dispensing new spectacle lenses for patient supplied frame
- S0596 – Phakic intraocular lens for correction of refractive error
- S0601 – Screening proctoscopy
- S0610 – Annual gynecological examination, new patient
- S0612 – Annual gynecological examination, established patient
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.