Summary & Overview
HCPCS V2302: Trifocal Spherical Intraocular Lens, Per Lens
HCPCS Level II code V2302 identifies a trifocal spherical intraocular lens (IOL) with a power range of plus or minus 7.12 to plus or minus 20.00 diopters, billed on a per-lens basis. This code captures the supply of a specialty ophthalmic implant used in cataract and lens-replacement procedures to provide vision correction at multiple focal distances. Nationally, accurate use of this HCPCS code matters because it affects claims submission for high-cost implanted devices and is relevant to surgical supply reimbursement and benefit design for vision and ophthalmology services.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for V2302, typical sites of service, and the payer landscape addressed. The publication outlines common modifiers and payer considerations, benchmarking approaches for reimbursement, and coding nuances that affect claim adjudication. It also highlights where input data are unavailable and what areas typically require payer-specific guidance. This summary is intended for coding professionals, billing managers, and policy analysts seeking a clear reference for billing, coverage conversations, and integration into surgical supply workflows.
Billing Code Overview
HCPCS Level II code V2302 describes a trifocal spherical intraocular lens with power range +/- 7.12 to +/- 20.00 diopters, billed per lens. This code applies to the supply of a manufactured ophthalmic lens designed to correct vision at multiple focal distances for patients undergoing lens implantation procedures.
Service type: Ophthalmic implant / intraocular lens supply
Typical site of service: Ambulatory surgical centers and hospital outpatient departments where cataract surgery or lens implantation procedures are performed. If the lens is supplied in another setting, billing practice should follow the payer's guidance.
Clinical & Coding Specifications
Clinical Context
A 72-year-old patient with progressive presbyopia and cataracts presents to an ophthalmology clinic for evaluation prior to cataract extraction and intraocular lens (IOL) implantation. Preoperative assessment documents visual acuity, manifest refraction, keratometry, biometry (axial length, anterior chamber depth), and discussion of lens options. The surgeon selects a trifocal spherical intraocular lens with a spherical power in the range of +7.12 to +20.00 diopters for implantation in one eye to correct distance, intermediate, and near vision. The clinical workflow includes preoperative informed consent, biometric measurements, cataract extraction with phacoemulsification, implantation of the specified trifocal spherical IOL (billing as V2302 per lens), postoperative visits for day 1, week 1, and month 1, and any necessary refractive adjustments or management of postoperative inflammation or complications.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing the professional interpretation or service component separately from the technical component (rare for lens device billing). |