| V2020 |
Frames, purchases |
| V2025 |
Deluxe frame |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2110 |
Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
| V2113 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
| V2115 |
Lenticular, (myodisc), per lens, single vision |
| V2118 |
Aniseikonic lens, single vision |
| V2121 |
Lenticular lens, per lens, single |
| V2199 |
Not otherwise classified, single vision lens |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2205 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2206 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2209 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2210 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens |
| V2211 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
| V2212 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens |
| V2213 |
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2214 |
Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens |
| V2215 |
Lenticular (myodisc), per lens, bifocal |
| V2218 |
Aniseikonic, per lens, bifocal |
| V2219 |
Bifocal seg width over 28 mm |
| V2220 |
Bifocal add over 3.25d |
| V2221 |
Lenticular lens, per lens, bifocal |
| V2299 |
Specialty bifocal (by report) |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
| V2301 |
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
| V2302 |
Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
| V2304 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens |
| V2305 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens |
| V2306 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
| V2307 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens |
| V2308 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2309 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2310 |
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens |
| V2311 |
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
| V2312 |
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens |
| V2313 |
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2314 |
Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens |
| V2315 |
Lenticular, (myodisc), per lens, trifocal |
| V2318 |
Aniseikonic lens, trifocal |
| V2319 |
Trifocal seg width over 28 mm |
| V2320 |
Trifocal add over 3.25d |
| V2321 |
Lenticular lens, per lens, trifocal |
| V2399 |
Specialty trifocal (by report) |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
| V2499 |
Variable sphericity lens, other type |
| V2500 |
Contact lens, pmma, spherical, per lens |
| V2501 |
Contact lens, pmma, toric or prism ballast, per lens |
| V2502 |
Contact lens, pmma, bifocal, per lens |
| V2503 |
Contact lens, pmma, color vision deficiency, per lens |
| V2510 |
Contact lens, gas permeable, spherical, per lens |
| V2511 |
Contact lens, gas permeable, toric, prism ballast, per lens |
| V2512 |
Contact lens, gas permeable, bifocal, per lens |
| V2513 |
Contact lens, gas permeable, extended wear, per lens |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
| V2522 |
Contact lens, hydrophilic, bifocal, per lens |
| V2523 |
Contact lens, hydrophilic, extended wear, per lens |
| V2524 |
Contact lens, hydrophilic, spherical, photochromic additive, per lens |
| V2530 |
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) |
| V2531 |
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) |
| V2599 |
Contact lens, other type |
| V2600 |
Hand held low vision aids and other nonspectacle mounted aids |
| V2610 |
Single lens spectacle mounted low vision aids |
| V2615 |
Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system |
| V2623 |
Prosthetic eye, plastic, custom |
| V2624 |
Polishing/resurfacing of ocular prosthesis |
| V2625 |
Enlargement of ocular prosthesis |
| V2626 |
Reduction of ocular prosthesis |
| V2627 |
Scleral cover shell |
| V2628 |
Fabrication and fitting of ocular conformer |
| V2629 |
Prosthetic eye, other type |
| V2630 |
Anterior chamber intraocular lens |
| V2631 |
Iris supported intraocular lens |
| V2632 |
Posterior chamber intraocular lens |
| V2700 |
Balance lens, per lens |
| V2702 |
Deluxe lens feature |
| V2710 |
Slab off prism, glass or plastic, per lens |
| V2715 |
Prism, per lens |
| V2718 |
Press-on lens, fresnell prism, per lens |
| V2730 |
Special base curve, glass or plastic, per lens |
| V2744 |
Tint, photochromatic, per lens |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
| V2750 |
Anti-reflective coating, per lens |
| V2755 |
U-v lens, per lens |
| V2756 |
Eye glass case |
| V2760 |
Scratch resistant coating, per lens |
| V2761 |
Mirror coating, any type, solid, gradient or equal, any lens material, per lens |
| V2762 |
Polarization, any lens material, per lens |
| V2770 |
Occluder lens, per lens |
| V2780 |
Oversize lens, per lens |
| V2781 |
Progressive lens, per lens |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
| V2785 |
Processing, preserving and transporting corneal tissue |
| V2786 |
Specialty occupational multifocal lens, per lens |
| V2787 |
Astigmatism correcting function of intraocular lens |
| V2788 |
Presbyopia correcting function of intraocular lens |
| V2790 |
Amniotic membrane for surgical reconstruction, per procedure |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
| V2799 |
Vision item or service, miscellaneous |