HCPCS Code V2787: Astigmatism correcting function of intraocular lens

HCPCS Code V2787: Astigmatism correcting function of intraocular lens

Bill HCPCS V2787 correctly. Refer to the documentation and billing rules for astigmatism-correcting intraocular lenses (toric IOLs) to ensure accurate claims.

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Frequently asked questions

No. V2787 represents an enhancement beyond a conventional intraocular lens, and Medicare as well as most private insurers classify it as non-covered. Patients are responsible for the additional cost, and providers should obtain an Advance Beneficiary Notice (ABN) or similar acknowledgement to document patient liability.

Yes. Use V2632 for the conventional posterior chamber IOL, which is covered, and V2787 for the separate astigmatism-correcting function, which is not covered. Both codes should appear on the claim when a toric IOL is implanted.

Yes. Modifier GY indicates a statutorily excluded service and ensures Medicare treats the charge as patient liability. This aligns with billing rules for non-covered vision-correcting services such as toric IOLs.

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