V2204 Lens sphcy bifocal 4.00d/2.1

Full Description

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d

Code
V2204
Short Description
Lens sphcy bifocal 4.00d/2.1
Section
V — Vision and Hearing Services
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026