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• V2308

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

• V2309

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

• V2310

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

• V2311

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

• V2312

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

• V2313

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

• V2314

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

• V2315

  Lenticular, (myodisc), per lens, trifocal

• V2318

  Aniseikonic lens, trifocal

• V2319

  Trifocal seg width over 28 mm

• V2320

  Trifocal add over 3.25d

• V2321

  Lenticular lens, per lens, trifocal

• V2399

  Specialty trifocal (by report)

• V2410

  Variable asphericity lens, single vision, full field, glass or plastic, per lens

• V2430

  Variable asphericity lens, bifocal, full field, glass or plastic, per lens

• V2499

  Variable sphericity lens, other type

• V2500

  Contact lens, pmma, spherical, per lens

• V2501

  Contact lens, pmma, toric or prism ballast, per lens

• V2502

  Contact lens, pmma, bifocal, per lens

• V2503

  Contact lens, pmma, color vision deficiency, per lens

• V2510

  Contact lens, gas permeable, spherical, per lens

• V2511

  Contact lens, gas permeable, toric, prism ballast, per lens

• V2512

  Contact lens, gas permeable, bifocal, per lens

• V2513

  Contact lens, gas permeable, extended wear, per lens

• V2520

  Contact lens, hydrophilic, spherical, per lens

• V2521

  Contact lens, hydrophilic, toric, or prism ballast, per lens

• V2522

  Contact lens, hydrophilic, bifocal, per lens

• V2523

  Contact lens, hydrophilic, extended wear, per lens

• V2524

  Contact lens, hydrophilic, spherical, photochromic additive, per lens

• V2525

  Contact lens, hydrophilic, dual focus, per lens

• V2526

  Contact lens, hydrophilic, with blue-violet filter, per lens

• V2530

  Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)

• V2531

  Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)

• V2599

  Contact lens, other type

• V2600

  Hand held low vision aids and other nonspectacle mounted aids

• V2610

  Single lens spectacle mounted low vision aids

• V2615

  Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system

• V2623

  Prosthetic eye, plastic, custom

• V2624

  Polishing/resurfacing of ocular prosthesis

• V2625

  Enlargement of ocular prosthesis

• V2626

  Reduction of ocular prosthesis

• V2627

  Scleral cover shell

• V2628

  Fabrication and fitting of ocular conformer

• V2629

  Prosthetic eye, other type

• V2630

  Anterior chamber intraocular lens

• V2631

  Iris supported intraocular lens

• V2632

  Posterior chamber intraocular lens

• V2700

  Balance lens, per lens

• V2702

  Deluxe lens feature

• V2710

  Slab off prism, glass or plastic, 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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