HCPCS Code Section: HCPCS V Codes

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 …

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Short Description: Spherocylinder 4.25d/2.12-4d Coverage Code: Carrier judgment Action Code: …

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Short Description: Lens sphcy bifocal 4.00d/2.1 Coverage Code: Carrier judgment Action Code: No maintenance …

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens Short Description: Spherocylinder 4.25d/12-2d Coverage Code: Carrier judgment Action Code: …

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Short Description: Lens sphcyl bifocal 4.00d/.1 Coverage Code: Carrier judgment Action Code: No maintenance …

Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens Short Description: Lens sphere bifocal 7.12-20. Coverage Code: Carrier judgment Action Code: No maintenance for this …

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Short Description: Lens sphere bifocal 4.12-7.0 Coverage Code: Carrier judgment Action Code: No maintenance for this …

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

Not otherwise classified, single vision lens Short Description: Lens single vision not oth c Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens Short Description: Lens sphcyl bifocal over 12. Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …