Summary & Overview
HCPCS V2307: Spherocylinder Trifocal Lens, +4.25 to +7.00
HCPCS Level II code V2307 represents a spherocylinder trifocal lens, specified for spherical powers between +4.25 and +7.00 diopters and cylindrical powers from 0.12 to 2.00 diopters, billed per lens. As a product-specific HCPCS Level II supply code, it identifies a high-prescription trifocal optical lens used in outpatient ophthalmology and vision care settings. Nationally, accurate use of V2307 affects coverage determinations, claim adjudication, and auditing for specialized optical devices.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for trifocal spherocylinder lenses, typical sites of service, and the billing implications when this device is supplied. The publication outlines payer coverage patterns and benchmark topics where available, highlights common billing modifiers and claim considerations supplied in the input, and points to areas where additional documentation may be required by payers. The report provides practical reference information for coding staff, revenue cycle professionals, and clinical managers responsible for accurate supply coding and claims submission.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Billing Code Overview
HCPCS Level II code V2307 describes a spherocylinder trifocal lens with spherical power from +4.25 to +7.00 diopters and cylinder from 0.12 to 2.00 diopters, billed per lens. This item represents a specialized ophthalmic lens designed to correct multiple focal points (trifocal) with both spherical and cylindrical refractive components.
Service Type: Prosthetic/optical device supply (intraocular/contact/eyeglass lens)
Typical Site of Service: Outpatient ophthalmology, optical dispensary, or vision care clinic
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related billing lines.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with progressive presbyopia and visually significant cataract elects implantation of a trifocal intraocular lens (IOL). The billed item is a manufactured V2307 spherocylinder trifocal lens (per lens) specified for spherical power between +4.25 D and +7.00 D and cylinder between 0.12 D and 2.00 D. The clinical workflow begins with preoperative evaluation in the ophthalmology clinic including manifest refraction, biometry (axial length and keratometry), corneal topography, and discussion of lens options and expected outcomes. On the day of surgery, uncomplicated phacoemulsification cataract extraction with posterior chamber IOL placement is performed in an ambulatory surgery center or hospital outpatient setting. The V2307 lens is selected intraoperatively or ordered preoperatively to match biometric calculations and any planned toric correction. Postoperative visits include day 1, week 1, and month 1 assessments with refraction and assessment of visual acuity at distance, intermediate, and near. Typical patients have bilateral sequential or same-day procedures; billing records will list V2307 per lens, with laterality modifiers or claim modifiers applied as appropriate.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 |