HCPCS Level II V2303: Spherocylinder Trifocal Lens, Plano to ±4.00D - OpenPayer

Summary & Overview

HCPCS Level II V2303: Spherocylinder Trifocal Lens, Plano to ±4.00D

HCPCS Level II code V2303 denotes a spherocylinder trifocal lens, specified for sphere powers from plano to ±4.00 diopters with cylinder from 0.12 to 2.00 diopters, billed per lens. This code captures provision of multifocal ophthalmic lenses used to correct refractive errors across multiple focal distances, relevant to eye care providers, optical dispensers, and payers managing durable medical equipment and ophthalmic supplies. Nationally, the code matters for consistent coverage, benefit design, and claims adjudication for multifocal lens coverage within vision and medical plans.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what the code represents, typical clinical and service settings, and the areas where payers commonly apply policy distinctions. The publication outlines billing context and common adjudication considerations, and highlights available benchmarks and policy updates when present. Clinical context explains the lens type and its use for patients with combined spherical and cylindrical refractive errors who require multifocal correction.

Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes. Where available, readers will also see commonly used modifiers and payer ordering for benchmarking purposes.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareV2303HCPCS Level IItrifocal lensophthalmic devicespherocylindervision careoptical dispensingophthalmologymedical billing

Billing Code Overview

HCPCS Level II code V2303 describes a spherocylinder trifocal lens for ophthalmic use, specified for powers from plano to plus or minus 4.00 diopters sphere with cylinder power of .12 to 2.00 diopters, billed per lens. The product is a trifocal corrective lens designed to provide vision correction at multiple focal distances by combining spherical and cylindrical optical powers.

Service type: Provision and fitting of a trifocal spherocylinder intraocular or spectacle lens (ophthalmic optical device)
Typical site of service: Optical dispensing location, ophthalmology clinic, or outpatient eye care facility

Clinical & Coding Specifications

Clinical Context

A typical patient is a 62-year-old who presents to an ophthalmology clinic after cataract extraction with intraocular lens implantation and requires prescription of a premium trifocal spherocylindrical optical lens. The lens specification V2303 describes a trifocal spherocylinder lens, plano to ±4.00 diopter sphere with cylinder power between 0.12 and 2.00 diopters, billed per lens. Clinical workflow: the patient undergoes a comprehensive postoperative refraction and visual function assessment by the ophthalmologist or optometrist, including manifest refraction, slit-lamp exam, and assessment of near, intermediate, and distance visual acuity. Lens selection is determined by refractive error, corneal astigmatism, and patient visual needs. The optical supplier or durable medical equipment provider dispenses the V2303 lens per prescription; billing is submitted to the patient’s insurer with applicable modifiers documenting laterality, provider status, or exceptional circumstances. Typical sites of service include outpatient ophthalmology clinics, ambulatory surgery centers for perioperative services, and optical dispensaries associated with eye care practices. Common patient presentation: decreased uncorrected near/intermediate vision after lens exchange or desire for multifocal correction following refractive cataract surgery, with measurable spherical and cylindrical refractive components within the V2303 specification range.

Coding Specifications

Modifier	Description	When to Use

HCPCS V2625: Enlargement of Ocular Prosthesis

HCPCS-V2208-SPHEROCYLINDER-BIFOCAL-LENS-HIGH-PRESCRIPTION

HCPCS V2208: Spherocylinder Bifocal Lens, High‑Prescription per Lens

HCPCS-V2214-BIFOCAL-SPHEROCYLINDER-HIGH-SPHERE-LENS

HCPCS Level II V2214: Bifocal Spherocylindrical Lens, >±12.00D

HCPCS-V2199-SINGLE-VISION-LENS-NOT-OTHERWISE-CLASSIFIED

HCPCS V2199: Single Vision Lens, Not Otherwise Classified

HCPCS-V2321-LENTICULAR-TRIFOCAL-LENS

HCPCS V2321: Lenticular Trifocal Intraocular Lens

HCPCS-V2114-SPHEROCYLINDER-SINGLE-VISION-HIGH-SPHERE-LENS

HCPCS V2114: Spherocylinder Single-Vision Lens, Sphere > ±12.00D

HCPCS-V2300-TRIFOCAL-SPHERICAL-LENS-PLANO-TO-PLUS-MINUS-4D

HCPCS V2300: Trifocal Spherical Lens, Plano to ±4.00D

HCPCS-V2799-VISION-ITEM-SERVICE-MISCELLANEOUS

HCPCS V2799: Vision Item or Service, Miscellaneous

HCPCS-V2623-PROSTHETIC-EYE-PLASTIC-CUSTOM

HCPCS V2623: Prosthetic Eye, Plastic, Custom

HCPCS-V2797-VISION-SUPPLY-ACCESSORY-COMPONENT

HCPCS V2797: Vision Supply/Accessory or Service Component

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Taxonomy Code	Specialty	Notes
`207W00000X`	Ophthalmology	Surgeons and clinicians who evaluate, prescribe, and manage intraocular lenses.
`363L00000X`	Optometry	Eye care professionals performing refractions and dispensing corrective lenses.
`363LA2200X`	Optometrist — Low Vision Rehabilitation	Providers managing advanced refractive needs and postoperative visual rehabilitation.
`2080P0208X`	Optician	Professionals who fabricate and dispense ophthalmic lenses and contact lenses.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H25.9`	Unspecified age-related cataract	Cataract extraction patients often require postoperative refractive correction and multifocal lens fitting within `V2303` parameters.
`H52.13`	Myopia, bilateral	Myopic refractive error that may be corrected with a spherical component in the trifocal spherocylinder lens.
`H52.02`	Hypermetropia, bilateral	Hyperopic refractive error addressed by the spherical range of the lens.
`H52.4`	Presbyopia	Loss of accommodation commonly treated with multifocal/trifocal lenses to restore near and intermediate vision.
`H52.3`	Astigmatism	Corneal or lenticular astigmatism requiring cylinder correction within the `.12–2.00d` cylinder range of `V2303`.
`H44.2`	Aphakia	Absence of the crystalline lens where a corrective intraocular or spectacle lens may be required; applicable if external trifocal lens is used for visual rehabilitation.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92083`	Extended ophthalmological services; diagnostic evaluation (eg, extended refraction), subsequent	Performed when detailed refraction and visual function testing are required prior to lens dispensing.
`92015`	Determination of refractive state	Used for manifest or cycloplegic refraction documenting spherical and cylindrical prescription that supports `V2303` ordering.
`66984`	Extracapsular cataract removal with insertion of intraocular lens (one stage procedure), manual or mechanical technique (ICD-10-CM)	Surgical procedure commonly preceding or associated with need for a corrective trifocal lens postoperatively.
`99070`	Supplies and materials (eg, bandages, gauze), provided by physician over and above those usually included in the office visit or procedure	Used for billing additional non-standard supplies related to lens dispensing when a payer allows supply charge coding.
`92310`	Prescription of optical and visual aids; fitting of spectacles, single or bi-focal lenses	Performed by optometrists or ophthalmic dispensers to fit and adapt the patient to the `V2303` trifocal spherocylinder lens.

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