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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