Summary & Overview
HCPCS V2308: Trifocal Spherocylinder Contact Lens, Per Lens
HCPCS Level II code V2308 designates a trifocal spherocylinder contact lens billed per lens, covering spherical powers from +/-4.25 to +/-7.00 diopters and cylindrical powers from 2.12 to 4.00 diopters. This code represents a specialized optical prosthetic used to correct high myopic or hyperopic refractive errors with significant astigmatism while providing trifocal vision. Nationwide relevance is driven by evolving demand for advanced corrective devices among patients with complex refractive needs and the role of durable medical device coding in payment and coverage determinations. Key payers typically involved in coverage and reimbursement decisions for this type of device include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn what V2308 represents clinically, the typical service setting where these lenses are supplied, and what to expect in terms of the code’s scope. The publication provides benchmarks and coverage context where available, summarizes relevant billing considerations, and highlights clinical situations that commonly prompt use of this code. Data not available in the input is noted where applicable, including detailed payer policy variations, ICD-10 linkage, and associated taxonomies.
Billing Code Overview
HCPCS Level II code V2308 describes a spherocylinder, trifocal contact lens with spherical power range of +/- 4.25 to +/- 7.00 diopters and cylinder power range of 2.12 to 4.00 diopters, billed per lens. This item is a specialty ophthalmic contact lens designed to provide trifocal vision correction with significant spherical and cylindrical refractive correction.
Service Type: Prosthetic/Optical Device (Trifocal Contact Lens)
Typical Site of Service: Outpatient ophthalmology or optometry clinic, optical dispensary, or retail optical center
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with a history of presbyopia and progressive cataract presents to an ophthalmology clinic for evaluation. Visual acuity is reduced and the patient desires reduced dependence on reading glasses. The surgeon selects a trifocal intraocular lens with spherocylindrical power within the range described by V2308 to correct both spherical error and regular corneal astigmatism (cylinder 2.12 to 4.00 D) while providing near, intermediate, and distance vision. The typical clinical workflow includes: preoperative biometric measurements and corneal topography in the clinic; surgical consent and order entry for the specific spherocylinder trifocal lens; billing the lens implant supply using HCPCS V2308 at the time of surgery; intraoperative lens insertion in the ambulatory surgery center or hospital outpatient department; and postoperative refractive checks and wound exams in follow-up clinic visits. The typical site of service is an ophthalmic ambulatory surgery center (ASC) or hospital outpatient surgical suite where cataract extraction with intraocular lens implantation is performed.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
52 | Reduced services | Use when the lens implantation is partially reduced in scope or simplified relative to the full procedure. |