| Label | Id | |
|---|---|---|
| Trifocal vision prescription lens (safety, athletic, or sunglass), per lens | DEVI:HCPCS | |
| Trifoc prscrp lens | DEVI:HCPCS | |
| Non-prescription lens (safety, athletic, or sunglass), per lens | DEVI:HCPCS | |
| Non-prscrp lens | DEVI:HCPCS | |
| Daily wear specialty contact lens, per lens | DEVI:HCPCS | |
| Daily cont lens | DEVI:HCPCS | |
| Color contact lens, per lens | DEVI:HCPCS | |
| Color cont lens | DEVI:HCPCS | |
| Safety eyeglass frames | DEVI:HCPCS | |
| Safety frames | DEVI:HCPCS | |
| Sunglasses frames | DEVI:HCPCS | |
| Sunglass frames | DEVI:HCPCS | |
| Polycarbonate lens (list this code in addition to the basic code for the lens) | DEVI:HCPCS | |
| Polycarb lens | DEVI:HCPCS | |
| Nonstandard lens (list this code in addition to the basic code for the lens) | DEVI:HCPCS |