Type of Service (TOS) Indicator Q: Vision Items or Services

CPT codes

CodeDescription

CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.  CPT code information is copyright by the AMA.

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CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.  CPT code information is copyright by the AMA.

0181T  CPT Code
92015  CPT Code
92065  CPT Code
92066  CPT Code
92070  CPT Code
92081  CPT Code
92082  CPT Code
92083  CPT Code
92100  CPT Code
92120  CPT Code
92130  CPT Code
92135  CPT Code
92136  CPT Code
92137  CPT Code
92140  CPT Code
92145  CPT Code
92201  CPT Code
92202  CPT Code
92225  CPT Code
92226  CPT Code
92230  CPT Code
92235  CPT Code
92240  CPT Code
92242  CPT Code
92250  CPT Code
92260  CPT Code
92265  CPT Code
92270  CPT Code
92273  CPT Code
92274  CPT Code
92275  CPT Code
92283  CPT Code
92284  CPT Code
92285  CPT Code
92286  CPT Code
92287  CPT Code
92310  CPT Code
92311  CPT Code
92312  CPT Code
92313  CPT Code
92314  CPT Code
92315  CPT Code
92316  CPT Code
92317  CPT Code
92325  CPT Code
92326  CPT Code
92340  CPT Code
92341  CPT Code
92342  CPT Code
92352  CPT Code
92353  CPT Code
92354  CPT Code
92355  CPT Code
92358  CPT Code
92370  CPT Code
92371  CPT Code
95930  CPT Code
99172  CPT Code
99173  CPT Code

HCPCS codes

CodeDescription
G0117  Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist  
G0118  Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist  
J7311  Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg  
S0500  Disposable contact lens, per lens  
S0504  Single vision prescription lens (safety, athletic, or sunglass), per lens  
S0506  Bifocal vision prescription lens (safety, athletic, or sunglass), per lens  
S0508  Trifocal vision prescription lens (safety, athletic, or sunglass), per lens  
S0510  Non-prescription lens (safety, athletic, or sunglass), per lens  
S0512  Daily wear specialty contact lens, per lens  
S0514  Color contact lens, per lens  
S0515  Scleral lens, liquid bandage device, per lens  
S0516  Safety eyeglass frames  
S0518  Sunglasses frames  
S0580  Polycarbonate lens (list this code in addition to the basic code for the lens)  
S0581  Nonstandard lens (list this code in addition to the basic code for the lens)  
S0590  Integral lens service, miscellaneous services reported separately  
S0592  Comprehensive contact lens evaluation  
S0812  Phototherapeutic keratectomy (ptk)  
V2020  Frames, purchases  
V2025  Deluxe frame  
V2100  Sphere, single vision, plano to plus or minus 4.00, per lens  
V2101  Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens  
V2102  Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens  
V2103  Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens  
V2104  Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens  
V2105  Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2106  Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens  
V2107  Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens  
V2108  Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens  
V2109  Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2110  Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens  
V2111  Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens  
V2112  Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens  
V2113  Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2114  Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens  
V2115  Lenticular, (myodisc), per lens, single vision  
V2118  Aniseikonic lens, single vision  
V2121  Lenticular lens, per lens, single  
V2199  Not otherwise classified, single vision lens  
V2200  Sphere, bifocal, plano to plus or minus 4.00d, per lens  
V2201  Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens  
V2202  Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens  
V2203  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens  
V2204  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens  
V2205  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2206  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens  
V2207  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens  
V2208  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens  
V2209  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2210  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens  
V2211  Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens  
V2212  Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens  
V2213  Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2214  Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens  
V2215  Lenticular (myodisc), per lens, bifocal  
V2218  Aniseikonic, per lens, bifocal  
V2219  Bifocal seg width over 28 mm  
V2220  Bifocal add over 3.25d  
V2221  Lenticular lens, per lens, bifocal  
V2299  Specialty bifocal (by report)  
V2300  Sphere, trifocal, plano to plus or minus 4.00d, per lens  
V2301  Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens  
V2302  Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens  
V2303  Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens  
V2304  Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens  
V2305  Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens  
V2306  Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens  
V2307  Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens  
V2308  Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens  
V2309  Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2310  Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens  
V2311  Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens  
V2312  Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens  
V2313  Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens  
V2314  Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens  
V2315  Lenticular, (myodisc), per lens, trifocal  
V2318  Aniseikonic lens, trifocal  
V2319  Trifocal seg width over 28 mm  
V2320  Trifocal add over 3.25d  
V2321  Lenticular lens, per lens, trifocal  
V2399  Specialty trifocal (by report)  
V2410  Variable asphericity lens, single vision, full field, glass or plastic, per lens  
V2430  Variable asphericity lens, bifocal, full field, glass or plastic, per lens  
V2499  Variable sphericity lens, other type  
V2500  Contact lens, pmma, spherical, per lens  
V2501  Contact lens, pmma, toric or prism ballast, per lens  
V2502  Contact lens, pmma, bifocal, per lens  
V2503  Contact lens, pmma, color vision deficiency, per lens  
V2510  Contact lens, gas permeable, spherical, per lens  
V2511  Contact lens, gas permeable, toric, prism ballast, per lens  
V2512  Contact lens, gas permeable, bifocal, per lens  
V2513  Contact lens, gas permeable, extended wear, per lens  
V2520  Contact lens, hydrophilic, spherical, per lens  
V2521  Contact lens, hydrophilic, toric, or prism ballast, per lens  
V2522  Contact lens, hydrophilic, bifocal, per lens  
V2523  Contact lens, hydrophilic, extended wear, per lens  
V2525  Contact lens, hydrophilic, dual focus, per lens  
V2526  Contact lens, hydrophilic, with blue-violet filter, per lens  
V2530  Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)  
V2531  Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)  
V2599  Contact lens, other type  
V2600  Hand held low vision aids and other nonspectacle mounted aids  
V2610  Single lens spectacle mounted low vision aids  
V2615  Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system  
V2630  Anterior chamber intraocular lens  
V2631  Iris supported intraocular lens  
V2632  Posterior chamber intraocular lens  
V2700  Balance lens, per lens  
V2702  Deluxe lens feature  
V2710  Slab off prism, glass or plastic, per lens  
V2715  Prism, per lens  
V2718  Press-on lens, fresnell prism, per lens  
V2730  Special base curve, glass or plastic, per lens  
V2744  Tint, photochromatic, per lens  
V2745  Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens  
V2750  Anti-reflective coating, per lens  
V2755  U-v lens, per lens  
V2756  Eye glass case  
V2760  Scratch resistant coating, per lens  
V2761  Mirror coating, any type, solid, gradient or equal, any lens material, per lens  
V2762  Polarization, any lens material, per lens  
V2770  Occluder lens, per lens  
V2780  Oversize lens, per lens  
V2781  Progressive lens, per lens  
V2782  Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens  
V2783  Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens  
V2784  Lens, polycarbonate or equal, any index, per lens  
V2785  Processing, preserving and transporting corneal tissue  
V2786  Specialty occupational multifocal lens, per lens  
V2787  Astigmatism correcting function of intraocular lens  
V2788  Presbyopia correcting function of intraocular lens  
V2790  Amniotic membrane for surgical reconstruction, per procedure  
V2797  Vision supply, accessory and/or service component of another hcpcs vision code  
V2799  Vision item or service, miscellaneous  
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