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H52.0
Hypermetropia
H52.01
Hypermetropia Right Eye
H52.02
Hypermetropia Left Eye
H52.03
Hypermetropia Bilateral
H52.1
Myopia
H52.11
Myopia Right Eye
H52.12
Myopia Left Eye
H52.13
Myopia Bilateral
H52.2
Astigmatism
H52.201
Astigmatism Right Eye
H52.202
Astigmatism Left Eye
H52.203
Astigmatism Bilateral
H52.31
Anisometropia
H52.4
Presbyopia
92004
New patient comprehensive
92014
Established patient comprehensive
92015
Determination of refractive state
92002
New patient intermediate
92012
Established patient intermediate
V2020
Frames, purchases
V2025
Deluxe Frames
V2100
Sphere, single vision, plano to + or − 4.00, per lens
V2101
Sphere, single vision, + or − 4.12 to + or − 7.ood, per lens
V2102
Sphere, single vision, + or − 7.12 to + or − 20.00d, per lens
V2103
Spherocylinder, single vision, plano to + or − 4.00d sphere, .12 to 2.00d cylinder per lens
V2104
Spherocylinder, single vision, plano to + or − 4.00d sphere, 2.12 to 4.00d cylinder per lens
V2105
Spherocylinder, single vision, plano to + or − 4.00d sphere, 4.25 to 6.00d cylinder per lens
V2106
Spherocylinder, single vision, plano to + or − 4.00d sphere, over 6.00d cylinder per lens
V2107
Spherocylinder, single vision, + or − 4.25 to + or − 7.00d sphere, .12 to 2.00d cylinder, per lens
V2108
Spherocylinder, single vision, + or − 4.25 to + or − 7.00d sphere, 2.12 to 4.00d cylinder, per lens
V2109
Spherocylinder, single vision, + or − 4.25 to + or − 7.00d sphere, 4.25 to 6.00d cylinder, per lens
V2110
Spherocylinder, single vision, + or − 4.25 to + or − 7.00d sphere, over 6.00d cylinder, per lens
V2111
Spherocylinder, single vision, + or − 7.25 to + or − 12.00d sphere, .25 to 2.25d cylinder, per lens
V2112
Spherocylinder, single vision, + or − 7.25 to + or − 12.00d sphere, 2.25 to 4.00d cylinder, per lens
V2113
Spherocylinder, single vision, + or − 7.25 to + or − 12.00d sphere, 4.25 to 6.00d cylinder, per lens
V2114
Spherocylinder, single vision, sphere over + or − 12.00d, per sphere
V2200
Sphere, bifocal, plano to + or − 4.00d per lens
V2201
Sphere, bifocal, + or − 4.12 to + or − 7.00, per lens
V2202
Sphere, bifocal, + or − 7.12 to + or − 20.00 , per lens
V2203
Spherocylinder, bifocal, plano to + or − 4.00d sphere, .12 to 2.00d cylinder, per lens
V2204
Spherocylinder, bifocal, plano to + or − 4.00d sphere, 2.12 to 4.00d cylinder, per lens
V2205
Spherocylinder, bifocal, plano to + or − 4,00d sphere, 4.25 to 6.00d cylinder, per lens
V2206
Spherocylinder, bifocal, plano to + or − 4.00d sphere, over 6.00d cylinder, per lens
V2207
Spherocylinder, bifocal, + or − 4.25 to + or − 7.00d spnere, .12 to 2.00d cylinder, per lens
V2208
Spherocylinder, bifocal, + or − 4.25 to + or − 7,00d sphere, 2.12 to 4.00d cylinder, per lens
V2209
Spherocylinder, bifocal, + or − 4.25 to + or − 7.00d sphere, 4.25 to 6.00d cylinder, per lens
V2210
Spherocylinder, bifocal, + or − 4.25 to + or n7.00d sphere, over 6.00d cylinder, per lens
V2211
Spherocylinder, bifocal, + or − 7.25 to + or − 12.00d sphere, 25 to 2.25d cylinder, per lens
V2212
Spherocylinder, bifocal, + or − 7.25 to + or − 12.00d sphere, 2.25 to 4.00d cylinder, per lens
V2214
Spherocylinder, bifocal, sphere over + or − 12.00, per lens
V2300
Sphere, trifocal, plano to + or − 4.00d, per lens
V2301
Sphere, trifocal, + or − 4.12 to + or − 7.00d per lens
V2302
Sphere, trifocal, + or − 7.12 to + or − 20.00d, per lens
V2303
Spherocylinder, trifocal, plano to + or − 4.00d sphere, 12 to 2.00d cylinder, per lens
V2304
Spherocylinder, trifocal, plano to + or − 4.00d sphere, 2.25 to 4.00d cylinder, per lens
V2305
Spherocylinder, trifocal, plano to + or − 4.00d sphere, 4.25 to 6.00d cylinder, per lens
V2306
Spherocylinder, trifocal, plano to + or − 4.00d sphere, over 6.00d cylinder, per lens
V2307
Spherocylinder, trifocal, + or − 4.25 to + or − 7.00d sphere, 12 to 2.00d cyl, per lens
V2308
Spherocylinder, trifocal, + or − 4.25 to + or − 7.00d sphere, 2.12 to 4.00d cyl, per lens
V2309
Spherocylinder, trifocal, + or − 4.25 to + or − 7,00d sphere, 4.25 to 6.00d cyl, per lens
V2310
Spherocylinder, trifocal, + or − 4.25 to + or − 7.00d sphere, over 6.00d cyl, per lens
V2311
Spherocylinder, trifocal, + or − 7.25 to + or − 12.00d sphere, 25 to 2.25d cyl, per lens
V2312
Spherocylinder, trifocal, + or − 7.25 to + or − 12.00d sphere, 2.25 to 4.00d cyl, per lens
V2313
Spherocylinder, trifocal, + or − 7.25 to + or − 12.00d sphere, 4.25 to 6.00d cyl, per lens
V2314
Spherocylinder, trifocal, sphere, over + or − 12.00d, per lens
V2599
Contact lens, other type
92310
Prescription of optical and physical characteristics of and fitting of contacts
V2700
Balance lens, glass or plastic, per lens
V2710
Slab off prism, glass or plastic, per lens
V2715
Prism, per lens
V2744
Tint, any, photochromatic, per lens
V2745
Tints or dyes
V2755
Ultra-violet lens, per lens
V2756
Case
V2760
Scratch resistant coating, per lens
V2761
Mirror Coating
V2762
Polarized
V2781
Progressive lens, each lens
V2782
1.54-1.65 index plastic
V2783
1.66 index plastic and greater
V2784
Polycarb