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HCPCS Procedure & Supply Codes

Vision Services

section notes

Vision Aids

section notes

Trifocal, Glass, or Plastic

section notes
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 cylinde...
V2304   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylind...
V2305   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cyli...
V2306   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylind...
V2307   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 ...
V2308   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12...
V2309   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25...
V2310   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over...
V2311   Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25...
V2312   Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.2...
V2313   Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.2...
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)
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