2025 HCPCS code V2214
(Active) Effective Date: N/A Revision Date: N/A Vision Services - Lenses, Bifocals Vision Services Feed
Supply of a spherocylindrical bifocal eyeglass lens with two focal powers exceeding ±12.00 D sphere.
Modifiers may apply depending on circumstances (e.g., bilateral vs. unilateral). Consult payer-specific guidelines for modifier rules.
The medical necessity for V2214 is established when a patient requires a high-powered bifocal lens (over ±12.00 D sphere) to correct visual acuity impairments affecting both near and far vision, impacting their daily activities.Documentation must support this.
Optometrist or ophthalmologist responsible for determining the patient's refractive error and prescribing the appropriate lens power. Dispensing optician responsible for fitting and supplying the lens.
In simple words: This code is for a special type of bifocal eyeglass lens that corrects vision for both near and far distances.It's stronger than most bifocals and is made of either plastic or glass.
This HCPCS code, V2214, covers the provision of a spherocylindrical bifocal eyeglass lens.The lens possesses two distinct focal powers, each exceeding plus or minus 12.00 diopters (D) sphere.This design corrects for both near and far vision. The lens typically features a concave shape, with the lower portion dedicated to near vision (reading) and the upper portion for distance vision.The material may be either plastic or glass. The spherocylindrical designation refers to the lens's shape: a spherical front surface and a toric (doughnut-shaped) back surface.
Example 1: A 60-year-old patient presents with significant presbyopia (age-related farsightedness) and myopia (nearsightedness).Requires a high-powered bifocal lens to correct vision for both near and far distances. V2214 is appropriate due to the high diopter requirements., A patient with high myopia and significant presbyopia requires a strong bifocal correction for both near and distance vision. V2214 would be the appropriate code to use, as it accounts for the higher diopter requirements., An elderly patient is experiencing significant difficulty reading and driving due to presbyopia and myopia.A high-powered bifocal lens is prescribed, requiring code V2214 because the diopter requirements are above the range covered by lower-numbered codes.
* Patient's ophthalmological or optometric examination report indicating the need for a high-powered bifocal correction.* Prescription for the specific lens power.* Documentation of lens fitting and dispensing.* Confirmation that the lens specifications meet the criteria for V2214.
** This code is specific to high-powered bifocal lenses.Ensure accurate specification of lens parameters to prevent coding errors.Always cross-reference with payer-specific guidelines and documentation requirements.
- Payment Status: Active
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Optical Dispensary