HCPCS V2103: Spherocylindr 4.00d Sphere, 12−2.00 Cylinder, Per Lens

Medicare coverage for refractive lenses is generally limited to specific situations, such as: - Lenses required after cataract surgery with an implanted intraocular lens (pseudophakia). - Lenses for a patient who is aphakic (lacking the natural lens due to surgical removal or congenital absence). Routine eyeglasses for simple refractive error correction are typically not covered by standard Medicare.

Yes. Since V2103 is a "per lens" code, you must use the −RT and −LT modifiers to specify whether the service was for the right or left eye, respectively.

No. V2103 only describes the basic single vision spherocylinder lens. Optional lens features like anti-reflective coatings, tints, UV protection, or high-index material, must be billed separately using the appropriate V-codes, and their coverage depends on the specific payer policy.