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See a sample rate comparisonHCPCS V2320 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Trifocal add over 3.25d
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Trifocal |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for V2320 |
National average reimbursement for HCPCS V2320 by major payers:
$71.31
$40.00
$56.61
$62.91
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HCPCS V2320
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$172.32Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$52.27Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$31.37Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$28.47Published rateColquitt Regional Medical Center
$27.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2320 vs. Other Lenses, Trifocal Codes
The HCPCS V2320 code is part of the Vision Services services used for Lenses, Trifocal. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS V2320 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| V2319-HCPCS | Low | Trifocal seg width over 28 mm |
| V2320-HCPCS | Low | Trifocal add over 3.25d |
| V2321-HCPCS | Low | Lenticular lens, per lens, trifocal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2320 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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