Showing codes V2211 (Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens) — V2399 (Specialty trifocal (by report))
V2211 - Lens sphcy bifo 7.25-12/.25-
Long description: Spherocylinder, bifocal, 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).
HTML
PDF
V2212 - Lens sphcyl bifo 7.25-12/2.2
Long description: Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 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).
HTML
PDF
V2213 - Lens sphcyl bifo 7.25-12/4.2
Long description: Spherocylinder, bifocal, 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).
HTML
PDF
V2214 - Lens sphcyl bifocal over 12.
Long description: Spherocylinder, bifocal, 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).
HTML
PDF
V2215 - Lens lenticular bifocal
Long description: Lenticular (myodisc), per lens, bifocal
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).
HTML
PDF
V2218 - Lens aniseikonic bifocal
Long description: Aniseikonic, per lens, bifocal
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).
HTML
PDF
V2219 - Lens bifocal seg width over
Long description: Bifocal seg width over 28 mm
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).
HTML
PDF
V2220 - Lens bifocal add over 3.25d
Long description: Bifocal add over 3.25d
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).
HTML
PDF
V2221 - Lenticular lens, bifocal
Long description: Lenticular lens, per lens, bifocal
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).
HTML
PDF
V2299 - Lens bifocal speciality
Long description: Specialty bifocal (by report)
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).
HTML
PDF
V2300 - Lens sphere trifocal 4.00d
Long description: Sphere, trifocal, 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).
HTML
PDF
V2301 - Lens sphere trifocal 4.12-7.
Long description: Sphere, trifocal, 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).
HTML
PDF
V2302 - Lens sphere trifocal 7.12-20
Long description: Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, 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).
HTML
PDF
V2303 - Lens sphcy trifocal 4.0/.12-
Long description: Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d 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).
HTML
PDF
V2304 - Lens sphcy trifocal 4.0/2.25
Long description: Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d 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).
HTML
PDF
V2305 - Lens sphcy trifocal 4.0/4.25
Long description: Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 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).
HTML
PDF
V2306 - Lens sphcyl trifocal 4.00/>6
Long description: Spherocylinder, trifocal, 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).
HTML
PDF
V2307 - Lens sphcy trifocal 4.25-7/.
Long description: Spherocylinder, trifocal, 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).
HTML
PDF
V2308 - Lens sphc trifocal 4.25-7/2.
Long description: Spherocylinder, trifocal, 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).
HTML
PDF
V2309 - Lens sphc trifocal 4.25-7/4.
Long description: Spherocylinder, trifocal, 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: 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).
HTML
PDF
V2310 - Lens sphc trifocal 4.25-7/>6
Long description: Spherocylinder, trifocal, 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: 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).
HTML
PDF
V2311 - Lens sphc trifo 7.25-12/.25-
Long description: Spherocylinder, trifocal, 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).
HTML
PDF
V2312 - Lens sphc trifo 7.25-12/2.25
Long description: Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 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).
HTML
PDF
V2313 - Lens sphc trifo 7.25-12/4.25
Long description: Spherocylinder, trifocal, 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).
HTML
PDF
V2314 - Lens sphcyl trifocal over 12
Long description: Spherocylinder, trifocal, sphere over plus or minus 12.00d, 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).
HTML
PDF
V2315 - Lens lenticular trifocal
Long description: Lenticular, (myodisc), per lens, trifocal
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).
HTML
PDF
V2318 - Lens aniseikonic trifocal
Long description: Aniseikonic lens, trifocal
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).
HTML
PDF
V2319 - Lens trifocal seg width > 28
Long description: Trifocal seg width over 28 mm
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).
HTML
PDF
V2320 - Lens trifocal add over 3.25d
Long description: Trifocal add over 3.25d
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).
HTML
PDF
V2321 - Lenticular lens, trifocal
Long description: Lenticular lens, per lens, trifocal
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).
HTML
PDF
V2399 - Lens trifocal speciality
Long description: Specialty trifocal (by report)
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).
HTML
PDF