V2203 Lens sphcyl bifocal 4.00d/.1
Also known as: Bifocal lens, Reading lens
Lens spherocylindrical bifocal, 4.00 diopter sphere with 0.12 to 2.00 diopter cylinder. Bifocal lens correcting presbyopia with mild astigmatism.
In Plain Language
Two-power lens for distance, reading, and astigmatism; Bifocal with astigmatism correction
Clinical Context
Medicare/Medicaid coverage for spherocylindrical bifocal corrective lenses correcting presbyopia with mild astigmatism component.
RVU Information
CPT V2203 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 V2203?
CPT V2203 (Lens sphcyl bifocal 4.00d/.1) is a V Codes (Vision) code. Lens spherocylindrical bifocal, 4.00 diopter sphere with 0.12 to 2.00 diopter cylinder. Bifocal lens correcting presbyopia with mild astigmatism.
Does Medicare cover V2203?
Medicare coverage for V2203 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicare/Medicaid coverage for spherocylindrical bifocal corrective lenses correcting presbyopia with mild astigmatism component. A physician order is typically required.
When is CPT V2203 used?
Medicare/Medicaid coverage for spherocylindrical bifocal corrective lenses correcting presbyopia with mild astigmatism component.
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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.