HCPCS Code Section: HCPCS V Codes

Bifocal add over 3.25d Short Description: Lens bifocal add over 3.25d Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: …

Bifocal seg width over 28 mm Short Description: Lens bifocal seg width over Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 …

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

Lenticular (myodisc), per lens, bifocal Short Description: Lens lenticular bifocal Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October …

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 …

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Short Description: Lens sphcyl bifo 7.25-12/4.2 Coverage Code: Carrier judgment Action …

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Short Description: Lens sphcyl bifo 7.25-12/2.2 Coverage Code: Carrier judgment Action …

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 …

Variable asphericity lens, single vision, full field, glass or plastic, per lens Short Description: Lens variab asphericity sing Coverage Code: Carrier judgment Action Code: No maintenance for this code …