HCPCS Code Section: HCPCS V Codes

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Short Description: Lens sphcyl trifocal 4.00/>6 Coverage Code: Carrier judgment Action Code: No maintenance for …

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Short Description: Lens sphcy bifo 7.25-12/.25- Coverage Code: Carrier judgment Action …

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens Short Description: Lens sphcy trifocal 4.0/4.25 Coverage Code: Carrier judgment Action Code: No maintenance …

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Short Description: Lens sphcy bifocal 4.25-7/ov Coverage Code: Carrier judgment Action Code: …

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens Short Description: Lens sphcy trifocal 4.0/2.25 Coverage Code: Carrier judgment Action Code: No maintenance for this …

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Short Description: Lens sphcy bifocal 4.25-7/4. Coverage Code: Carrier judgment Action …

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens Short Description: Lens sphcy trifocal 4.0/.12- Coverage Code: Carrier judgment Action Code: No maintenance for this …

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Short Description: Lens sphcy bifocal 4.25-7/2. Coverage Code: Carrier judgment Action …

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

Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Short Description: Lens sphere trifocal 4.12-7. Coverage Code: Carrier judgment Action Code: No maintenance for this …