HCPCS Code Section: HCPCS V Codes

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Short Description: Spherocylinder 4.00d/>6.00d Coverage Code: Carrier judgment Action Code: No maintenance for this …

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Short Description: Spherocylinder 4.00d/4.25-6d Coverage Code: Carrier judgment Action Code: No maintenance for …

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Short Description: Spherocylindr 4.00d/2.12-4d Coverage Code: Carrier judgment Action Code: No maintenance for …

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Short Description: Spherocylindr 4.00d/12-2.00d Coverage Code: Carrier judgment Action Code: No maintenance for …

Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens Short Description: Singl visn sphere 7.12-20.00 Coverage Code: Carrier judgment Action Code: No maintenance for …

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens Short Description: Single visn sphere 4.12-7.00 Coverage Code: Carrier judgment Action Code: No maintenance for …

Sphere, single vision, plano to plus or minus 4.00, per lens Short Description: Lens spher single plano 4.00 Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Deluxe frame Short Description: Eyeglasses delux frames Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: January 1, 1992 Effective Date: October 1, 2003 …

Frames, purchases Short Description: Vision svcs frames purchases Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October …

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Short Description: Lens sphcy bifocal 4.00d/4.2 Coverage Code: Carrier judgment Action Code: No maintenance …