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)