Codify By AAPC
HCPCS Range Lenses, Trifocal
1
Sphere, trifocal, plano to plus or minus 4.00d, per lens ( V2300 )
2
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ( V2301 )
3
Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ( V2302 )
4
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ( V2303 )
5
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ( V2304 )
6
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ( V2305 )
7
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ( V2306 )
8
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ( V2307 )
9
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ( V2308 )
10
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ( V2309 )
11
Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ( V2310 )
12
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ( V2311 )
13
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ( V2312 )
14
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ( V2313 )
15
Spherocylinder, trifocal, sphere over plus or minus 12 .00d, per lens ( V2314 )
16
Lenticular, (myodisc), per lens, trifocal ( V2315 )
17
Aniseikonic lens, trifocal ( V2318 )
18
Trifocal seg width over 28 mm ( V2319 )
19
Trifocal add over 3.25d ( V2320 )
20
Lenticular lens, per lens, trifocal ( V2321 )
21
Specialty trifocal (by report) ( V2399 )