HCPCS Code Section: HCPCS V Codes

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 …

Prism, per lens Short Description: Prism lens/es Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October 1, 2003 Termination …

Slab off prism, glass or plastic, per lens Short Description: Glass/plastic slab off prism Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Deluxe lens feature Short Description: Deluxe lens feature Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: January 1, 2005 Effective Date: January 1, …

Balance lens, per lens Short Description: Balance lens Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October 1, 2003 …

Posterior chamber intraocular lens Short Description: Post chmbr intraocular lens Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective …

Occluder lens, per lens Short Description: Occluder lens/es Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October 1, 2003 …

Iris supported intraocular lens Short Description: Iris support intraoclr lens Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective …