EYEMED ACCEPTABLE SERVICE CODES
entire amount of the premium progressive on the V2781 service line. Other Bifocal/Trifocal Lenses Acceptable Code Modifier V2219 Seg.width>28mm (explanation required) V2219 Flat Top 35 V2219 Executive V2220 Add >3.25D V2319 Seg.width>28mm (explanation required) V2319 Flat Top 35 V2319 Executive V2320 Add >3.25D Lens Add On and Material Codes ...
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EYEMED ACCEPTABLE SERVICE CODES
www.eyemedvisioncare.comEYEMED 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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