HCPCS Code V2780: Oversized Lens, Per Lens

An oversize lens is a custom-crafted ophthalmic lens larger than standard sizes, designed to accommodate specific patient needs. These lenses are often prescribed for individuals with unique anatomical requirements, such as larger eye structures or specific visual impairments. Among the benefits of having oversize lenses is enhancing visual acuity and comfort, ensuring that the lens provides optimal coverage and support for the patient's vision correction needs. Oversize lenses are particularly beneficial for patients who cannot be adequately served by standard-sized lenses, offering improved eye protection and support for special conditions.

No. V2780 is often considered a non-covered luxury item or a benefit only for patient preference by many payers, including Medicare, unless specific, documented medical necessity criteria are met. Coverage varies significantly by payer (e.g., Medicare, Medicaid, and commercial plans).

Yes. V2780 is an add-on code for a specific lens feature. It must be billed along with the base lens code that describes the type of lens (e.g., single vision V2100-V2199, bifocal V2200-V2299, etc.).