HCPCS Level IIvisionActive
V2301
Lens sphere trifocal 4.12-7.
BETOS: D1F
Effective: 2003-10-01
Referenced in 3 policies
Description
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, 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