Transcription of EYEMED ACCEPTABLE SERVICE CODES
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EYEMED ACCEPTABLE SERVICE CODES
EYEMED ACCEPTABLE SERVICE CODES . Effective 10/16/03. Exam & Fit/Follow Up Services ACCEPTABLE code Modifier 92002 New Intermediate 92004 New Comprehensive 92012 Established Intermediate 92014 Established Comprehensive S0620 Routine Opthalmological - New Patient S0621 Routine Opthalmological - Established Patient 92015 TG VDT Refraction (Valid only on certain plans). 92310 Prescription, fitting & dispensing of contacts by doctor 92314 Prescription, fitting & dispensing of contacts by tech S0592 Comprehensive Contact lens Evaluation Contact lens Materials ACCEPTABLE code Modifier S0500 ALL DISPOSABLE/PLANNED REPLACEMENT CONTACTS. S0512 DAILY WEAR SPECIALTY CONTACTS. V2330 CONTACT lens , SCLERAL. V2500 PMMA, SPHERICAL. V2501 PMMA TORIC OR PRISM BALLA. V2502 PMMA, BIFOCAL. V2503 PMMA, COLOR VISION DEFIC Please Note: A "D" after the V2510 GAS PERMEABLE, SPHERICAL "V" code will no longer V2511 GAS PERM, TORIC, PRISM identify the contacts as V2512 GAS PERMEABLE, BIFOCAL a disposable contact lens .
EYEMED ACCEPTABLE SERVICE CODES Effective 10/16/03 Plastic Progressive Lenses Acceptable Code Modifier V2781 Standard Progressive Lens Please refer to your Provider Manual V2781 \ for the complete list of approved | ----- Premium Progressive Lens premium progressive lenses S0581 /
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