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• V2020

  Frames, purchases

• V2025

  Deluxe frame

• V2100

  Sphere, single vision, plano to plus or minus 4.00, per lens

• V2101

  Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

• V2102

  Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens

• V2103

  Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens

• V2104

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

• V2105

  Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

• 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 cylinder, per lens

• V2108

  Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

• V2109

  Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

• V2110

  Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens

• V2111

  Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens

• V2112

  Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

• V2113

  Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

• V2114

  Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

• V2115

  Lenticular, (myodisc), per lens, single vision

• V2118

  Aniseikonic lens, single vision

• V2121

  Lenticular lens, per lens, single

• V2199

  Not otherwise classified, single vision lens

• V2200

  Sphere, bifocal, plano to plus or minus 4.00d, per lens

• V2201

  Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

• V2202

  Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens

• V2203

  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens

• V2204

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

• V2205

  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

• V2206

  Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

• V2207

  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens

• V2208

  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

• V2209

  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

• V2210

  Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens

• V2211

  Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens

• V2212

  Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

• V2213

  Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

• V2214

  Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

• V2215

  Lenticular (myodisc), per lens, bifocal

• V2218

  Aniseikonic, per lens, bifocal

• 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

• V2304

  Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d 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

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/5/2026

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