V2104 Spherocylindr 4.00d/2.12-4d

Full Description

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to

Code
V2104
Short Description
Spherocylindr 4.00d/2.12-4d
Section
V — Vision and Hearing Services
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026