HCPCS V2108 Code. Spherocylinder 4.25d/2.12-4d


Table of content for "Spherocylinder 4.25d/2.12-4d" (HCPCS V2108)

General information on the “V2108” code

HCPCS Code: V2108
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
Short Description: Spherocylinder 4.25d/2.12-4d

Original information is taken from V2108 page

Pricing indicators

Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: Q – Vision items or services

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 19850101
Code Effective Date: 20031001
Action Code: N – No maintenance for this code