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BETA v.3.0

2025 HCPCS code V2204

Spherocylindrical bifocal lens, with spherical correction of +4.00 to -4.00 D, and cylindrical correction of +2.12 to -4.00 D.

Use V codes for vision supplies. For other spherocylindrical bifocal lenses with different diopter measurements, refer to V2203-V2214.

Medical necessity for V2204 is established when the patient has a refractive error requiring correction with bifocals, and the specific diopter measurements fall within the range specified by the code.

The provider is responsible for determining the appropriate diopter measurements for the spherical and cylindrical corrections, ensuring proper fit and function of the lens, and educating the patient on lens care and usage.

IMPORTANT:See V2203 to V2214 for other spherocylindrical bifocal lenses with different diopter measurements.

In simple words: This is a type of eyeglass lens that corrects both near and far vision, along with astigmatism (blurred vision). It has two different powers for focusing light: one for near/farsightedness and one for astigmatism.

Spherocylindrical bifocal lens, a lens with a spherical front and cylindrical back, used to correct both near and farsightedness, as well as astigmatism. The spherical portion corrects near/farsightedness ranging from +4.00 to -4.00 diopters (D), while the cylindrical portion corrects astigmatism ranging from +2.12 to -4.00 D.

Example 1: A patient with both nearsightedness and astigmatism requires bifocals for reading and distance vision. The prescribed lens is V2204 with a spherical correction of -2.50 D and a cylindrical correction of -1.50 D., A patient with farsightedness and astigmatism requires bifocals. The prescribed lens is V2204 with a spherical correction of +3.00 D and a cylindrical correction of +2.25 D., An elderly patient with presbyopia (age-related farsightedness) and astigmatism requires bifocals. The prescribed lens is V2204 with a spherical correction of +1.75 D and cylindrical correction of -0.75 D.

Documentation should include the diagnosis (e.g., nearsightedness, farsightedness, astigmatism, presbyopia), the spherical and cylindrical diopter measurements, and the type of lens material (e.g., plastic, glass).

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