HCPCS Code Section: HCPCS V Codes

Prosthetic eye, other type Short Description: Prosthetic eye other type Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October …

Scratch resistant coating, per lens Short Description: Scratch resistant coating Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October …

Fabrication and fitting of ocular conformer Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1993 Effective Date: October 1, 2003 Termination Date:

Eye glass case Short Description: Eye glass case Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective Date: January 1, 2007 …

U-v lens, per lens Short Description: Uv lens/es Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October …

Anti-reflective coating, per lens Short Description: Anti-reflective coating Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October …

Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens Short Description: Tint, any color/solid/grad Coverage Code: Special coverage instructions apply Action …

Tint, photochromatic, per lens Short Description: Tint photochromatic lens/es Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: …

Special base curve, glass or plastic, per lens Short Description: Special base curve Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 …

Press-on lens, fresnell prism, per lens Short Description: Fresnell prism press-on lens Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective …