HCPCS code V2104 — Spherocylindr 4.00d/2.12-4d.
Status: Active.
Effective Oct 1, 2003.
Source: CMS HCPCS Level II.
V2104
ActiveSpherocylindr 4.00d/2.12-4d
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Category:
Vision/Hearing/Speech
Section:
V-codes: Vision, Hearing, and Speech-Language Pathology
Effective:
Oct 1, 2003
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of V2104 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 2 |
| Outpatient Hospital | 2 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits