V2304 – Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens

Long description

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

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1985

Last change

October 1, 2003 – No change

Nearby V codes

• 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
• 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