Optometric Procedure Codes
Bifocals
| Procedure Code | Modifier | Description |
|---|---|---|
| V2200 | RT | Sphere, Bifocal, Plano to Plus or Minus 4.00d, Per Lens |
| V2200 | LT | Sphere, Bifocal, Plano to Plus or Minus 4.00d, Per Lens |
| V2201 | RT | Sphere, Bifocal, Plus or Minus 4.12 to Plus or Minus 7.00d, Per Lens |
| V2201 | LT | Sphere, Bifocal, Plus or Minus 4.12 to Plus or Minus 7.00d, Per Lens |
| V2202 | RT | Sphere, Bifocal, Plus oOr Minus 7.12 to Plus or Minus 20.00d, Per Lens |
| V2202 | LT | Sphere, Bifocal, Plus oOr Minus 7.12 to Plus or Minus 20.00d, Per Lens |
| V2203 | RT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, .12 to 2.00d Cylinder, Per Lens |
| V2203 | LT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, .12 to 2.00d Cylinder, Per Lens |
| V2204 | RT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, 2.12 to 4.00d Cylinder, Per Lens |
| V2204 | LT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, 2.12 to 4.00d Cylinder, Per Lens |
| V2205 | RT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, 4.25 to 6.00d Cylinder, Per Lens |
| V2205 | LT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, 4.25 to 6.00d Cylinder, Per Lens |
| V2206 | RT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, Over 6.00d Cylinder, Per Lens |
| V2206 | LT | Spherocylinder, Bifocal, Plano to Plus or Minus 4.00d Sphere, Over 6.00d Cylinder, Per Lens |
| V2207 | RT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, .12 to 2.00d Cylinder, Per Lens |
| V2207 | LT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, .12 to 2.00d Cylinder, Per Lens |
| V2208 | RT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, 2.12 to 4.00d Cylinder, Per Lens |
| V2208 | LT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, 2.12 to 4.00d Cylinder, Per Lens |
| V2209 | RT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, 4.25 to 6.00d Cylinder, Per Lens |
| V2209 | LT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, 4.25 to 6.00d Cylinder, Per Lens |
| V2210 | RT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, Over 6.00d Cylinder, Per Lens |
| V2210 | LT | Spherocylinder, Bifocal, Plus or Minus 4.25 to Plus or Minus 7.00d Sphere, Over 6.00d Cylinder, Per Lens |
| V2211 | RT | Spherocylinder, Bifocal, Plus or Minus 7.25 to Plus or Minus 12.00d Sphere, 25 to 2.25d Cylinder, Per Lens |
| V2211 | LT | Spherocylinder, Bifocal, Plus or Minus 7.25 to Plus or Minus 12.00d Sphere, 25 to 2.25d Cylinder, Per Lens |
| V2212 | RT | Spherocylinder, Bifocal, Plus or Minus 7.25 to Plus or Minus 12.00d Sphere, 2.25 to 4.00d Cylinder, Per Lens |
| V2212 | LT | Spherocylinder, Bifocal, Plus or Minus 7.25 to Plus or Minus 12.00d Sphere, 2.25 to 4.00d Cylinder, Per Lens |
| V2213 | RT | Spherocylinder, Bifocal, Plus or Minus 7.25 to Plus or Minus 12.00d Sphere, 4.25 to 6.00d Cylinder, Per Lens |
| V2213 | LT | Spherocylinder, Bifocal, Plus or Minus 7.25 to Plus or Minus 12.00d Sphere, 4.25 to 6.00d Cylinder, Per Lens |
| V2214 | RT | Spherocylinder, Bifocal, Sphere Over Plus or Minus 12.00d, Per Lens |
| V2214 | LT | Spherocylinder, Bifocal, Sphere Over Plus or Minus 12.00d, Per Lens |
| V2215 | RT | Lenticular (Myodisc), Per Lens, Bifocal |
| V2215 | LT | Lenticular (Myodisc), Per Lens, Bifocal |
| V2216 | RT | Lenticular, Nonaspheric, Per Lens, Bifocal |
| V2216 | LT | Lenticular, Nonaspheric, Per Lens, Bifocal |
| V2217 | RT | Lenticular, Aspheric Lens, Bifocal |
| V2217 | LT | Lenticular, Aspheric Lens, Bifocal |
| V2218 | RT | Aniseikonic, Per Lens, Bifocal |
| V2218 | LT | Aniseikonic, Per Lens, Bifocal |
| V2220 | RT | Bifocal Add Over 3.25d |
| V2220 | LT | Bifocal Add Over 3.25d |
| V2299 | RT | Specialty Bifocal (By Report) |
| V2299 | LT | Specialty Bifocal (By Report) |