Summary & Overview
HCPCS V2410: Variable Asphericity Single-Vision Lens
HCPCS Level II code V2410 denotes a single-vision, full-field variable asphericity lens (glass or plastic), billed per lens. This code captures a specific optical device used to correct refractive errors with an aspheric surface intended to improve image quality across the visual field. Nationally, accurate coding of lens products like V2410 matters for consistent benefit administration, claims processing, and comparative utilization tracking across commercial payers and Medicare.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s clinical context, typical sites of service, and the common modifiers used in practice. The publication also provides benchmarking context and highlights policy or coverage considerations relevant to single-vision specialty lenses.
The piece is designed to inform billing staff, coding auditors, and policy analysts about the purpose of V2410, how it is categorized within HCPCS Level II, and what types of documentation and service lines are typically associated with claims using this code. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code V2410 represents a variable asphericity lens, single vision, full field, glass or plastic, per lens. This item is an optical device intended to correct refractive errors for a single-vision prescription using an aspheric lens design that reduces spherical aberration across the full visual field.
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Service type: Durable medical equipment / optical prosthetic (single-vision corrective lens)
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Typical site of service: Retail optical provider, ophthalmology or optometry clinic, or outpatient eye care setting
Clinical & Coding Specifications
Clinical Context
A 56-year-old patient presents to an optometry or ophthalmology practice for refractive correction due to presbyopia and early cataract changes with symptomatic blur and glare. After a comprehensive eye exam, including manifest refraction and slit-lamp evaluation, the clinician determines that single-vision distance lenses with variable asphericity are appropriate to reduce spherical aberration and improve visual quality. The order is written for V2410 (variable asphericity lens, single vision, full field, glass or plastic, per lens). The typical clinical workflow includes: visual acuity and refraction, ocular health assessment, frame selection and lens fitting by the dispensing optician, measurement of pupillary distance and segment height (if needed), fabrication or ordering of the V2410 lenses from a lab, verification of lens parameters on delivery, and final dispensing with patient education on wear and care. Typical sites of service are outpatient ophthalmology or optometry clinics and optical dispensaries within ambulatory care facilities or retail optical shops that are contracted with vision benefit plans.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Physician or other qualified health care professional service | When the prescribing clinician (ophthalmologist or optometrist) performs the evaluation and management or other professional services related to the order. |