Showing codes V2025 (Deluxe frame) — V2210 (Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens)
V2025 - Eyeglasses delux frames
Long description: Deluxe frame
Code added date: 19920101.
Code effective date: 20031001.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: M (A code denoting Medicare coverage status).
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V2100 - Lens spher single plano 4.00
Long description: Sphere, single vision, plano to plus or minus 4.00, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2101 - Single visn sphere 4.12-7.00
Long description: Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2102 - Singl visn sphere 7.12-20.00
Long description: Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens
Code added date: 19850101.
Code effective date: 19850101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2103 - Spherocylindr 4.00d/12-2.00d
Long description: Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2104 - Spherocylindr 4.00d/2.12-4d
Long description: Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2105 - Spherocylinder 4.00d/4.25-6d
Long description: Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2106 - Spherocylinder 4.00d/>6.00d
Long description: Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2107 - Spherocylinder 4.25d/12-2d
Long description: Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2108 - Spherocylinder 4.25d/2.12-4d
Long description: Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2109 - Spherocylinder 4.25d/4.25-6d
Long description: Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 19850101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2110 - Spherocylinder 4.25d/over 6d
Long description: Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2111 - Spherocylindr 7.25d/.25-2.25
Long description: Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2112 - Spherocylindr 7.25d/2.25-4d
Long description: Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2113 - Spherocylindr 7.25d/4.25-6d
Long description: Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2114 - Spherocylinder over 12.00d
Long description: Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2115 - Lens lenticular bifocal
Long description: Lenticular, (myodisc), per lens, single vision
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2118 - Lens aniseikonic single
Long description: Aniseikonic lens, single vision
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2121 - Lenticular lens, single
Long description: Lenticular lens, per lens, single
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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V2199 - Lens single vision not oth c
Long description: Not otherwise classified, single vision lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2200 - Lens spher bifoc plano 4.00d
Long description: Sphere, bifocal, plano to plus or minus 4.00d, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2201 - Lens sphere bifocal 4.12-7.0
Long description: Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2202 - Lens sphere bifocal 7.12-20.
Long description: Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2203 - Lens sphcyl bifocal 4.00d/.1
Long description: Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2204 - Lens sphcy bifocal 4.00d/2.1
Long description: Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2205 - Lens sphcy bifocal 4.00d/4.2
Long description: Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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V2206 - Lens sphcy bifocal 4.00d/ove
Long description: Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2207 - Lens sphcy bifocal 4.25-7d/.
Long description: Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2208 - Lens sphcy bifocal 4.25-7/2.
Long description: Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 20031001.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2209 - Lens sphcy bifocal 4.25-7/4.
Long description: Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 19850101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
V2210 - Lens sphcy bifocal 4.25-7/ov
Long description: Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens
Code added date: 19850101.
Code effective date: 19850101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF