Summary & Overview
HCPCS V2770: Occluder Lens, Per Lens
HCPCS Level II code V2770 identifies an occluder lens billed per lens and applies to prosthetic ophthalmic devices used to occlude vision in one eye. Nationally, this device-level HCPCS code matters for device supply chains, coverage determinations, and claims processing for ophthalmology and ocular prosthetics services. It is used when clinicians or suppliers provide a single occluder lens as part of a therapeutic or cosmetic intervention.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for use of an occluder lens, common sites of service where the device is supplied or implanted, and the payer landscape for coverage considerations. The publication summarizes typical billing scenarios, lists common modifiers associated with device and procedure claims, and provides benchmarking context where available. It also notes when input data elements were not provided. The goal is to give billing staff, revenue cycle leaders, and clinical administrators a clear reference for coding, claim submission, and payer engagement related to V2770.
Billing Code Overview
HCPCS Level II code V2770 denotes an occluder lens, per lens. This code represents a single intraocular occluder lens device used to obstruct light transmission or visual input to an eye as part of a clinical intervention.
Service Type: Durable medical device / ophthalmic prosthetic lens
Typical Site of Service: Ambulatory surgical center, hospital outpatient department, or ophthalmology clinic
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with monocular visual impairment or prosthetic eye needs following severe ocular trauma, enucleation, or painful blind eye. An ophthalmology team in an outpatient surgical center or hospital ophthalmic clinic fits an occluder lens, billed as V2770, to the prosthetic or remaining lens to improve cosmesis and reduce light sensitivity. The clinical workflow: pre-procedure evaluation by an ophthalmologist or ocularist to determine lens size and type; measurement and ordering of the custom occluder lens; procedure visit in clinic or ambulatory surgery center for insertion or fitting (often simple office-based placement for adhesive or clip-on occluders, or insertion into a prosthesis at a prosthetic eye lab); post-fit assessment and counseling on care. Typical site of service: ophthalmology clinic, ocular prosthetics lab, ambulatory surgical center, or hospital outpatient department. Typical patient scenario: a 58-year-old patient with prior enucleation for ocular melanoma requests an occluder lens to mask the anophthalmic socket for cosmetic symmetry and to reduce glare; the ocularist selects a matched V2770 occluder lens, fits it to the prosthesis, and documents size, laterality, and fitting service.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component |