V2109 Spherocylinder 4.25d/4.25-6d
Also known as: Spherocylindrical lens, Astigmatism lens
Lens spherocylindrical prescription, 4.25 diopter sphere with 4.25 to 6.00 diopter cylinder. Corrective lens for moderate sphere with significant astigmatism.
In Plain Language
Lens for distance and astigmatism correction; High astigmatism correction lens
Clinical Context
Medicare/Medicaid coverage for spherocylindrical corrective lenses with moderate sphere and significant astigmatism.
RVU Information
CPT V2109 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
V-codes cover vision services, supplies, and equipment including lenses, frames, and hearing aids. A valid prescription from an authorized provider is required. Document the specific product dispensed, measurements, and clinical indication.
Specialties
Frequently Asked Questions
What is CPT code V2109?
CPT V2109 (Spherocylinder 4.25d/4.25-6d) is a V Codes (Vision) code. Lens spherocylindrical prescription, 4.25 diopter sphere with 4.25 to 6.00 diopter cylinder. Corrective lens for moderate sphere with significant astigmatism.
Does Medicare cover V2109?
Medicare coverage for V2109 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicare/Medicaid coverage for spherocylindrical corrective lenses with moderate sphere and significant astigmatism. A physician order is typically required.
When is CPT V2109 used?
Medicare/Medicaid coverage for spherocylindrical corrective lenses with moderate sphere and significant astigmatism.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.