HCPCS Code V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Short DescriptionSpherocylindr 4.00d/2.12-4d
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateOctober 01, 2003
Code Added DateJanuary 01, 1985
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceQ = Vision items or services