Summary & Overview
HCPCS V2102: Single-Vision High-Power Spherical Lens
HCPCS Level II code V2102 designates a single-vision spherical lens with a high power range of ±7.12 to ±20.00 diopters, billed per lens. This code identifies supply of high-prescription corrective lenses used to correct significant myopia or hyperopia. Nationally, accurate use of V2102 matters for appropriate claims processing, patient access to corrective eyewear, and consistent benefits application across payers and plan designs.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for high-power single-vision lenses, common billing considerations, and what to expect in payer coverage policies and claims adjudication. The publication summarizes typical sites of service (optical dispensaries, ophthalmology and optometry practices, retail optical providers), outlines common modifiers associated with this supply code, and highlights where input data is not available.
The content serves clinicians, coders, and policy analysts who need clear guidance on code purpose, billing context, and the payer landscape for high-prescription single-vision lenses. Data not available in the input will be explicitly noted where applicable.
Billing Code Overview
HCPCS Level II code V2102 describes a single-vision spherical lens with a power range of +/- 7.12 to +/- 20.00 diopters, billed per lens. The service type is prescription optical lens fabrication and supply, specifically high-power single-vision corrective lenses intended to correct refractive errors.
Typical site of service is optical dispensary or ophthalmology/optometry practice with on-site lens dispensing, and may also include retail optical providers where prescription lenses are ordered and fitted. Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with high hyperopia presents to an ophthalmology or optometry clinic for prescription lenses after a comprehensive eye examination. The patient has spherical refractive error outside the standard lens power range, measured at +8.50 D in the right eye and +9.25 D in the left eye. The clinician documents the manifest refraction and orders single-vision spectacle lenses with high plus power (sphere values between +7.12 and +20.00 D) to correct distance vision. The optical dispenser or ophthalmic laboratory receives the order and supplies custom single-vision lenses billed per lens under V2102. Typical workflow steps: patient examination with refraction and ocular health assessment, documentation of refractive error and lens prescription, selection of single-vision high-plus lens material and design, fabrication by an optical lab or in-house lens finishing, verification of lens parameters, patient fitting and final dispensing. Typical sites of service include outpatient ophthalmology clinics, optometry offices, optical dispensaries, and ophthalmic laboratories. Common clinical reasons for this service include high hyperopia, aphakia requiring high-power corrective lenses, or post-surgical high plus refractive needs.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Physician or other qualified health care professional service | Use when service is performed personally by the billing practitioner. |