Summary & Overview
HCPCS V2207: Spherocylinder Bifocal Lens, Specific Diopter Range
HCPCS Level II code V2207 identifies a spherocylinder bifocal lens specified by spherical power between +/-4.25 and +/-7.00 diopters and cylindrical power from 0.12 to 2.00 diopters, billed per lens. This code matters nationally because it standardizes reporting and reimbursement for a defined class of corrective bifocal lenses used in vision correction and lens dispensing. Clear coding supports accurate benefit determination, appropriate supply tracking, and consistent claims processing across 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 the lens type, the typical service setting where the item is supplied, and which major payers are relevant to coverage and claims submission. The publication also outlines common modifiers associated with ophthalmic supply billing, notes related administrative considerations, and summarizes where data is not available in the input. This summary is intended for a national audience of payers, billing staff, and clinicians seeking a concise reference for HCPCS Level II code V2207 and its role in ophthalmic device coding and claims workflows.
Billing Code Overview
HCPCS Level II code V2207 describes a spherocylinder bifocal lens with spherical power ranging from +/-4.25 to +/-7.00 diopters and cylindrical power from 0.12 to 2.00 diopters, priced per lens. The code reflects a specific ophthalmic lens parameter set used in corrective eyewear for patients requiring both spherical and cylindrical correction with a bifocal segment.
Service Type: Corrective ophthalmic lens fabrication and supply
Typical Site of Service: Optical dispensary or ophthalmic/optometry clinic
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with presbyopia and coexisting regular astigmatism presents to an optometry or ophthalmology clinic for refraction and spectacle dispensing. Following manifest and cycloplegic refraction, the clinician determines the patient requires bifocal spherocylindrical lenses with relatively high spherical power between +4.25 to +7.00 diopters and cylindrical correction between .12 to 2.00 diopters. An optical dispenser or ophthalmic practice orders custom bifocal lenses per lens billed with HCPCS Level II code V2207. Typical workflow: patient assessment and refraction, selection of bifocal segment and materials, lens fabrication order placed with optical lab, receipt and verification of lenses, frame fitting and patient education on bifocal use. Typical site of service is an outpatient eye care clinic, optical dispensary within an ophthalmology/optometry practice, or retail optical shop associated with a medical clinic.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side |