HCPCS Service Codes - Vision items or services

HCPCS Service Code Q for Vision items or services.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Vision items or services

  • V2212

    Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

  • V2213

    Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

  • V2214

    Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

  • V2215

    Lenticular (myodisc), per lens, bifocal

  • V2218

    Aniseikonic, per lens, bifocal

  • V2219

    Bifocal seg width over 28 mm

  • V2220

    Bifocal add over 3.25d

  • V2221

    Lenticular lens, per lens, bifocal

  • V2299

    Specialty bifocal (by report)

  • V2300

    Sphere, trifocal, plano to plus or minus 4.00d, per lens

  • V2301

    Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

  • V2302

    Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens

  • V2303

    Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens

  • V2304

    Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens

  • V2305

    Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens

  • V2306

    Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

  • V2307

    Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens

  • V2308

    Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

  • V2309

    Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

  • V2310

    Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens

  • V2311

    Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens

  • V2312

    Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens

  • V2313

    Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

  • V2314

    Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens

  • V2315

    Lenticular, (myodisc), per lens, trifocal

  • V2318

    Aniseikonic lens, trifocal

  • V2319

    Trifocal seg width over 28 mm

  • V2320

    Trifocal add over 3.25d

  • V2321

    Lenticular lens, per lens, trifocal

  • V2399

    Specialty trifocal (by report)

  • V2410

    Variable asphericity lens, single vision, full field, glass or plastic, per lens

  • V2430

    Variable asphericity lens, bifocal, full field, glass or plastic, per lens

  • V2499

    Variable sphericity lens, other type

  • V2500

    Contact lens, pmma, spherical, per lens

  • V2501

    Contact lens, pmma, toric or prism ballast, per lens

  • V2502

    Contact lens, pmma, bifocal, per lens

  • V2503

    Contact lens, pmma, color vision deficiency, per lens

  • V2510

    Contact lens, gas permeable, spherical, per lens

  • V2511

    Contact lens, gas permeable, toric, prism ballast, per lens

  • V2512

    Contact lens, gas permeable, bifocal, per lens

  • V2513

    Contact lens, gas permeable, extended wear, per lens

  • V2520

    Contact lens, hydrophilic, spherical, per lens

  • V2521

    Contact lens, hydrophilic, toric, or prism ballast, per lens

  • V2522

    Contact lens, hydrophilic, bifocal, per lens

  • V2523

    Contact lens, hydrophilic, extended wear, per lens

  • V2524

    Contact lens, hydrophilic, spherical, photochromic additive, per lens

  • V2525

    Contact lens, hydrophilic, dual focus, per lens

  • V2526

    Contact lens, hydrophilic, with blue-violet filter, per lens

  • V2530

    Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)

  • V2531

    Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)