Refractive Lenses
National · Effective Oct 1, 2020
1 active Medicare policy lists V2104, and 2 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Oct 1, 2020
2 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of V2104 |
|---|---|---|
| Medically Necessary Optical Hardware | Not recorded | Covered |
| Preventive (Routine) Eye Examination Attachment A: Refractive Hardware | Not recorded | Covered |