HCPCS Level IIvisionActive
V2304
Lens sphcy trifocal 4.0/2.25
BETOS: D1F
Effective: 2003-10-01
Referenced in 3 policies
Description
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d 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