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2025 HCPCS code V2304

Supply of a spherocylindrical trifocal eyeglass lens with a power of ±4.00D sphere and 2.25 to 4.00D cylinder.

Follow HCPCS coding guidelines for ophthalmic supplies.

Modifiers may apply depending on the circumstances of service (e.g., bilateral fitting, use of certain materials).

Medical necessity for trifocal lenses is established when a patient exhibits age-related vision changes (presbyopia) or astigmatism requiring correction for clear vision at near, intermediate and far distances.The choice of trifocal lenses over other options should be supported in the medical record.

Optometrist or ophthalmologist supplies the lens as part of vision correction.

IMPORTANT For trifocal spherocylindrical eyeglass lenses with different powers, consider codes V2303 to V2314.

In simple words: This code is for providing a special type of eyeglass lens called a trifocal lens.It helps people see clearly at different distances (far, middle, and near).

This HCPCS code, V2304, covers the supply of a spherocylindrical trifocal eyeglass lens.The lens has a power of plus or minus 4.00 diopters (D) sphere and 2.25 to 4.00 D cylinder. This corrects for nearsightedness, farsightedness, and astigmatism, providing three focal points for distance, intermediate, and near vision. The lens is typically made of plastic or glass.The spherocylindrical design features a spherical front surface and a toric (doughnut-shaped) back surface.

Example 1: A 60-year-old patient presents with presbyopia (age-related difficulty focusing on near objects) and astigmatism. The provider prescribes a trifocal lens (V2304) to correct vision at all distances., A patient with a history of myopia (nearsightedness) and astigmatism requires a new pair of glasses.A trifocal lens (V2304) is ordered to accommodate all visual needs., A patient involved in an accident resulting in damage to existing glasses requires replacement. The provider determines that the original prescription for a trifocal lens (V2304) remains appropriate.

* Patient's ophthalmic prescription including sphere, cylinder, and axis for each eye.* Documentation specifying the lens material (plastic or glass).* Medical necessity documentation justifying the need for trifocal lenses.

** Ensure the lens power prescribed matches the patient's specific visual needs.Refer to the appropriate lens manufacturer's codes if more specific lens information is required.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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