V2204 Lens sphcy bifocal 4.00d/2.1
Also known as: Bifocal lens, Reading lens
Lens spherocylindrical bifocal, 4.00 diopter sphere with 2.12 to 4.00 diopter cylinder. Bifocal lens correcting presbyopia with moderate 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 moderate astigmatism component.
RVU Information
CPT V2204 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 V2204?
CPT V2204 (Lens sphcy bifocal 4.00d/2.1) is a V Codes (Vision) code. Lens spherocylindrical bifocal, 4.00 diopter sphere with 2.12 to 4.00 diopter cylinder. Bifocal lens correcting presbyopia with moderate astigmatism.
Does Medicare cover V2204?
Medicare coverage for V2204 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicare/Medicaid coverage for spherocylindrical bifocal corrective lenses correcting presbyopia with moderate astigmatism component. A physician order is typically required.
When is CPT V2204 used?
Medicare/Medicaid coverage for spherocylindrical bifocal corrective lenses correcting presbyopia with moderate astigmatism component.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.