Summary & Overview
HCPCS V2110: Spherocylinder Single-Vision Lens, High Power
HCPCS Level II code V2110 identifies a single-vision spherocylinder corrective lens with spherical power of +/- 4.25 to 7.00 diopters and an astigmatic cylinder exceeding 6.00 diopters, billed per lens. This code is relevant for vision benefits, optical suppliers, and clinicians managing high-refractive-error prescriptions that require specialized lens fabrication. Nationally, V2110 matters because lenses with these specifications can incur higher material and manufacturing costs and may be subject to specific coverage rules across payers.
Key payers included in the coverage analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what the code represents, expected sites of service, and typical clinical context for use. The publication provides benchmarks where available, notes on payer coverage patterns, and policy considerations that affect billing and claims adjudication for high-power single-vision spherocylinder lenses.
This summary equips optical suppliers, billing staff, and clinicians with a clear national-level explanation of the code, common payment considerations, and areas to review in payer policies when submitting claims for high-power single-vision lenses.
Billing Code Overview
HCPCS Level II code V2110 describes a spherocylinder single-vision lens where the spherical power is +/- 4.25 to 7.00 diopters with an astigmatic cylinder greater than 6.00 diopters, billed per lens. This code applies to the manufacture or supply of corrective ophthalmic lenses with relatively high sphere and cylinder powers.
Service type: Corrective ophthalmic lens (single-vision spherocylinder), per lens
Typical site of service: Optical dispensary, ophthalmology or optometry clinic, retail optical store, or outpatient vision care setting
Clinical & Coding Specifications
Clinical Context
A 54-year-old patient presents to an optometry or ophthalmology clinic with progressively worsening blurred vision and difficulty with near and distance tasks. Manifest refraction reveals a high astigmatic component greater than 6.00 diopters and a spherical power between +4.25 and +7.00 diopters in one or both eyes. The clinician documents a physician- or optometrist-performed refraction and prescribes single-vision spherocylindrical spectacle lenses to correct the refractive error. The optical laboratory receives the prescription and fabricates a single-vision lens with the specified sphere and cylinder powers; billing for the lens material and fabrication is submitted using the HCPCS Level II code V2110 (spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens).
Typical workflow steps:
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Patient presents for refractive assessment and ocular exam.
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Refraction and biomicroscopy performed by optometrist or ophthalmologist; refraction documented in the medical record.
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Lens prescription is written specifying sphere and cylinder powers that meet the
V2110parameters. -
Optical dispenser or external laboratory fabricates the lens; invoice or claim for lens material uses
V2110per lens. -
Claims may include appropriate modifiers to indicate laterality, service or rendering provider specifics, or unusual circumstances during fabrication or delivery.
Typical site of service: outpatient eye care facilities, optometry clinics, ophthalmology offices, retail optical dispensaries, and independent optical laboratories where spectacle lenses are fabricated and billed.