HCPCS Code Section: HCPCS V Codes
Variable sphericity lens, other type Short Description: Variable asphericity lens Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1984 Effective Date: October …
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens Short Description: Lens sphcy trifocal 4.25-7/. Coverage Code: Carrier judgment Action …
Variable asphericity lens, bifocal, full field, glass or plastic, per lens Short Description: Lens variable asphericity bi Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …
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 …
Specialty trifocal (by report) Short Description: Lens trifocal speciality Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October 1, …
Lenticular lens, per lens, trifocal Short Description: Lenticular lens, trifocal Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2004 Effective …
Trifocal add over 3.25d Short Description: Lens trifocal add over 3.25d Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: …
Trifocal seg width over 28 mm Short Description: Lens trifocal seg width > 28 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …
Aniseikonic lens, trifocal Short Description: Lens aniseikonic trifocal Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: October 1, 2003 …
Contact lens, gas permeable, extended wear, per lens Short Description: Contact lens extended wear Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …