Summary & Overview
HCPCS V2107: Spherocylinder Single-Vision Lens, Per Lens
HCPCS Level II code V2107 denotes a single-vision spherocylinder ophthalmic lens with spherical power from +/-4.25 to +/-7.00 and cylindrical power from 0.12 to 2.00 diopters, billed per lens. This code matters nationally because it standardizes billing for a common corrective lens category used to treat moderate-to-high refractive errors, supporting consistent claims processing across optical suppliers, eye care providers, and payers. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical context for V2107, including the lens characteristics and typical sites of service where these lenses are dispensed. The publication summarizes payer coverage patterns and billing considerations at a national level, highlights benchmarks for utilization and reimbursement where available, and outlines common modifiers and coding considerations that appear with HCPCS lens codes. Where specific input data is missing, the text notes that those elements are not available in the input. The focus is on providing a clear, actionable reference for billing staff, revenue cycle professionals, and clinical managers who handle ophthalmic lens claims and need to align coding with clinical specifications and payer expectations.
Billing Code Overview
HCPCS Level II code V2107 describes a spherocylinder single-vision lens with spherical power ranging from +/-4.25 to +/-7.00 and cylindrical power from 0.12 to 2.00 diopters, billed per lens. This code represents a manufactured ophthalmic corrective lens designed to correct refractive errors combining sphere and cylinder powers for single-vision use.
Service Type: Corrective ophthalmic lens (single-vision, spherocylinder)
Typical Site of Service: Optical dispensary, ophthalmology clinic, optometry office, or retail optical center
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with presbyopia and mixed refractive error presents to an optometry clinic for routine vision correction. Manifest refraction reveals a spherocylindrical prescription requiring single-vision lenses with spherical power between +4.25 D and +7.00 D and cylindrical correction between 0.12 D and 2.00 D in one or both eyes. The optometrist documents visual acuity, pupil measurements, corneal status, and the final spectacle prescription. The clinic orders custom single-vision spectacle lenses (per lens) coded as V2107 for optical fabrication and dispensing. Typical workflow steps: patient history and refraction, measurement for lens centration and segment height as applicable, documentation of lens parameters and medical necessity (if coverage requested), submission of the V2107 HCPCS code with appropriate modifier(s) for billing, and dispensing of the finished lenses with patient education on wear and care.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | When only the left lens is provided or billed |
RT |