Summary & Overview
HCPCS Level II V2782: Optical Lens, Index 1.54–1.79 (Excludes Polycarbonate)
HCPCS Level II code V2782 designates a single ophthalmic lens with refractive index ranges of 1.54–1.65 for plastic or 1.60–1.79 for glass, explicitly excluding polycarbonate lenses. This code matters nationally because it standardizes billing for a commonly supplied optical commodity used in corrective eyewear, affecting coverage decisions, benefit design, and claims adjudication across commercial and public payers. Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn which services and sites typically use V2782, how payers commonly classify and reimburse for non-polycarbonate index lenses, and where this code fits within clinical and supply chains for ophthalmic products. The publication provides benchmarks for utilization and reimbursement trends, summarizes pertinent payer policies and coverage exceptions, and situates the code within clinical care pathways for patients receiving prescription lenses. It also highlights coding nuances that influence claim processing and appeals. Data not available in the input for specific modifiers, associated taxonomies, ICD-10 pairings, related codes, and detailed service-line categorizations are noted in their respective sections.
Billing Code Overview
HCPCS Level II code V2782 represents a single ophthalmic lens specified as "Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens." This code applies to the supply of a corrective or protective optical lens provided as part of eyewear.
-
Service type: Optical lens supply for corrective eyewear
-
Typical site of service: Optical retail settings, ophthalmology or optometry offices, and durable medical equipment suppliers that dispense lenses and eyewear
Clinical & Coding Specifications
Clinical Context
A 58-year-old patient with bilateral age-related presbyopia and early cataract presents to an ophthalmology clinic for evaluation of corrective lens options after cataract extraction. The ophthalmologist documents refractive error and orders intraocular lens (IOL) selection and ordering. The service described by V2782 is a single replacement lens (index 1.54–1.65 plastic or 1.60–1.79 glass) provided per lens for spectacle use or trial, excluding polycarbonate. Typical clinical workflow: preoperative refractive assessment and lens prescription by the ophthalmologist or optometrist; measurement and verification of lens parameters by optical dispensing staff; procurement and dispensing of the specified index lens; fitting and patient education at the clinic or optical shop. Typical site of service: outpatient ophthalmology clinic, optical dispensary, or retail optical shop affiliated with the eye care practice. A typical patient scenario: patient undergoes cataract surgery with planned monofocal IOL implantation but requires a specific spectacle lens to optimize postoperative visual acuity; the clinic orders V2782 per lens to provide the higher-index plastic or glass lens.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | When the lens is provided for the left eye |