Summary & Overview
HCPCS V2115: Lenticular (Myodisc) Single-Vision Lens, Per Lens
HCPCS Level II code V2115 designates a lenticular (myodisc) single-vision lens billed per lens. This code is used for specialized single-vision corrective lenses that incorporate a lenticular design to manage high refractive errors or unique optical requirements. Nationally, accurate coding of such lens supplies affects coverage determinations, prior authorization workflows, and supplier reimbursement for vision corrective devices.
Key payers covered in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how V2115 is characterized clinically, the typical sites of service where it is provided, and the payer landscape relevant to this code. The publication summarizes common billing considerations, typical documentation elements for lens provision, and potential policy topics that influence coverage and payment for specialized corrective lenses.
The analysis provides benchmarking context and policy updates where available, clarifies clinical context for when a lenticular single-vision lens would be supplied, and outlines practical coding references for billing staff and suppliers. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V2115 describes a lenticular (myodisc) single-vision lens, billed per lens. The service represents fabrication or provision of a single-vision lenticular lens designed to correct refractive errors with a central optical zone and a peripheral carrier to address high prescriptions or other optical needs.
Service type: Prosthetic/vision supply related to corrective lenses for single-vision use.
Typical site of service: Optical dispensary, ophthalmology or optometry office, retail optical provider, or durable medical equipment supplier.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with a history of advanced cataract and irregular astigmatism presents to an ophthalmology practice for intraocular lens (IOL) planning and provision of a single-vision lenticular (myodisc) lens per eye. The patient has symptomatic visual impairment for distance vision and elects implantation of a single-vision lenticular IOL to optimize postoperative visual acuity after cataract extraction. The clinical workflow includes preoperative evaluation (history, manifest refraction, biometry), selection of the lenticular IOL power and centration, documentation of medical necessity for a custom or specialty lens when applicable, ordering and procurement of the lens coded as V2115, verification of payer coverage and any prior authorization requirements, surgical implantation by an ophthalmic surgeon in an ambulatory surgery center or hospital outpatient department, and postoperative visits to assess refractive outcome and wound healing. Billing uses the HCPCS Level II code V2115 per lens for the single-vision myodisc lens; relevant modifiers indicate laterality, professional vs technical components, unusual procedural services, or payer-specific circumstances. Typical site of service: ambulatory surgery center (ASC) or hospital outpatient department (HOPD). Typical providers: ophthalmologist (cataract/refractive surgeon), optometrist for pre- and postoperative refractions, and certified ophthalmic technicians for biometry and lens ordering.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|