Summary & Overview
HCPCS V2430: Variable Asphericity Bifocal Full-Field Lens
HCPCS Level II code V2430 designates a variable asphericity bifocal lens (full-field), available in glass or plastic, billed per lens. As an ophthalmic supply category code, V2430 matters nationally because it captures reimbursement and coverage decisions for corrective lenses that incorporate advanced aspheric optics and bifocal functionality — technologies that affect vision quality, patient satisfaction, and device cost profiles.
Key payers in national coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise examination of what V2430 represents clinically and operationally, plus context on reimbursement benchmarking and payer coverage patterns when available.
This publication outlines: the clinical context for variable asphericity bifocal lenses; typical sites of service and billing considerations; common modifiers and coding practice notes where relevant; and the types of benchmarks and policy updates that influence coverage and payment. Data not provided in the input are noted as unavailable.
Billing Code Overview
HCPCS Level II code V2430 describes a variable asphericity bifocal lens, full field, glass or plastic, per lens. This code represents a manufactured ophthalmic lens designed with variable aspheric surface geometry and an integrated bifocal segment that provides full-field vision correction for two focal distances.
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Service type: Durable medical device provision of an ophthalmic corrective lens (bifocal)
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Typical site of service: Optical dispenser, ophthalmology clinic, optometry practice, or retail optical setting where prescription lenses are fabricated or dispensed
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Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with progressive presbyopia and age-related refractive changes presents to an ophthalmology clinic for evaluation and prescription of corrective lenses. After a comprehensive eye examination including manifest refraction and slit-lamp assessment, the ophthalmologist determines that bifocal lenses with variable asphericity are appropriate to provide improved distance and near visual acuity across the full field of view. The optical dispenser orders V2430 (variable asphericity lens, bifocal, full field, glass or plastic, per lens) to fabricate each lens. Typical workflow: patient exam and refraction by an ophthalmologist or optometrist, lens prescription documented in the chart, optical technician measures pupillary distance and fitting parameters, order placed with lab or in-house lab, receipt of fabricated lenses, frame fitting and final patient education on wear and care. Services are commonly rendered in an outpatient ophthalmology or optometry clinic or optical dispensary affiliated with the clinic.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no specific modifier applies to the lens item. |
26 |