HCPCS Level IIvisionActive
V2109
Spherocylinder 4.25d/4.25-6d
BETOS: D1F
Referenced in 3 policies
Description
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies