V2320 — Trifocal add over 3.25d
V2320 is a HCPCS Level II code for trifocal add over 3.25d. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V2320 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
- DME supplier
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for V2320
- Long descriptor
- Trifocal add over 3.25d
- Short descriptor
- Lens trifocal add over 3.25d
- Added
- January 1, 1985
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to V2320
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2320 is not quite right, the correct code is very often within a few positions of it.
- V2310Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens
- V2311Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
- V2312Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens
- V2313Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
- V2314Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens
- V2315Lenticular, (myodisc), per lens, trifocal
- V2318Aniseikonic lens, trifocal
- V2319Trifocal seg width over 28 mm
- V2321Lenticular lens, per lens, trifocal
- V2399Specialty trifocal (by report)
- V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens
- V2430Variable asphericity lens, bifocal, full field, glass or plastic, per lens
- V2499Variable sphericity lens, other type
- V2500Contact lens, pmma, spherical, per lens
- V2501Contact lens, pmma, toric or prism ballast, per lens
- V2502Contact lens, pmma, bifocal, per lens
Questions about V2320
What is HCPCS code V2320?
V2320 is a HCPCS Level II code for trifocal add over 3.25d. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2320?
The CMS HCPCS file marks V2320 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is V2320 paid under the physician fee schedule?
V2320 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.