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HCPCS Procedure & Supply Codes

Vision Services

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Spectacle Lenses

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Single Vision, Glass, or Plastic

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V2100 Lens spher single plano 4.00
V2101 Single visn sphere 4.12-7.00
V2102 Singl visn sphere 7.12-20.00
V2103 Spherocylindr 4.00d/12-2.00d
V2104 Spherocylindr 4.00d/2.12-4d
V2105 Spherocylinder 4.00d/4.25-6d
V2106 Spherocylinder 4.00d/>6.00d
V2107 Spherocylinder 4.25d/12-2d
V2108 Spherocylinder 4.25d/2.12-4d
V2109 Spherocylinder 4.25d/4.25-6d
V2110 Spherocylinder 4.25d/over 6d
V2111 Spherocylindr 7.25d/.25-2.25
V2112 Spherocylindr 7.25d/2.25-4d
V2113 Spherocylindr 7.25d/4.25-6d
V2114 Spherocylinder over 12.00d
V2115 Lens lenticular bifocal
V2118 Lens aniseikonic single
V2121 Lenticular lens, single
V2199 Lens single vision not oth c
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