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Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

HCPCS code

Medical Policies and Guidelines for Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Related policies from health plans

Contact Lenses and Eyeglasses (CG039)

Similar Codes


ICD10CM codes

Q12.4 - Spherophakia
H40.1432 - Capsular glaucoma with pseudoexfoliation of lens, bilateral, moderate stage
H40.1431 - Capsular glaucoma with pseudoexfoliation of lens, bilateral, mild stage
H40.1434 - Capsular glaucoma with pseudoexfoliation of lens, bilateral, indeterminate stage
H40.1430 - Capsular glaucoma with pseudoexfoliation of lens, bilateral, stage unspecified
H40.1422 - Capsular glaucoma with pseudoexfoliation of lens, left eye, moderate stage
H40.143 - Capsular glaucoma with pseudoexfoliation of lens, bilateral
H40.1491 - Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, mild stage
H40.1492 - Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, moderate stage
H40.1424 - Capsular glaucoma with pseudoexfoliation of lens, left eye, indeterminate stage

HCPCS codes

V2104 - Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
V2103 - Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
V2105 - Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
V2108 - Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cyli
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 cylinde
V2204 - Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
V2112 - Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cyl
V2110 - Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens
V2203 - Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens

CPT4 codes

92311 - Prescription of optical and physical characteristics of and fitting of contact lens, with medical su
92315 - Prescription of optical and physical characteristics of contact lens, with medical supervision of ad
92314 - Prescription of optical and physical characteristics of contact lens, with medical supervision of ad
92310 - Prescription of optical and physical characteristics of and fitting of contact lens, with medical su
92312 - Prescription of optical and physical characteristics of and fitting of contact lens, with medical su
76519 - Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation
92316 - Prescription of optical and physical characteristics of contact lens, with medical supervision of ad
92313 - Prescription of optical and physical characteristics of and fitting of contact lens, with medical su
70200 - Radiologic examination; orbits, complete, minimum of 4 views
92352 - Fitting of spectacle prosthesis for aphakia; monofocal