|
Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
|
PROC:HCPCS |
|
|
Lens sphc trifo 7.25-12/4.25
|
PROC:HCPCS |
|
|
Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens
|
PROC:HCPCS |
|
|
Lens sphcyl trifocal over 12
|
PROC:HCPCS |
|
|
Lenticular, (myodisc), per lens, trifocal
|
PROC:HCPCS |
|
|
Aniseikonic lens, trifocal
|
PROC:HCPCS |
|
|
Lens aniseikonic trifocal
|
PROC:HCPCS |
|
|
Trifocal seg width over 28 mm
|
PROC:HCPCS |
|
|
Lens trifocal seg width > 28
|
PROC:HCPCS |
|
|
Lens trifocal add over 3.25d
|
PROC:HCPCS |
|
|
Specialty trifocal (by report)
|
PROC:HCPCS |
|
