V2221 HCPCS - LENTICULAR LENS, PER LENS, BIFOCAL

Code Information

Pricing Indicator Code:
- 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
- 2130.B
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	V2221
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Lenticular lens, per lens, bifocal
HCPCS Short Description	Lenticular lens, bifocal
HCPCS Pricing Indicator Code 1	38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	2130.B
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1F - Prosthetic/Orthotic devices
HCPCS Type Of Service Code 1	Q - Vision items or services
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2004
HCPCS Action Effective Date	1/1/2004
HCPCS Action Code	N - No maintenance for this code