TMPPM 2008 > Texas Medicaid Services > Vision Care (Optometrists, Opticians) > Benefits and Limitations

    
 

45.4.5.2 Lenses

Providers must use the following codes when dispensing new lenses only (e.g., a client has 0.5 or greater diopter change requiring new lenses only). Providers are to bill a quantity of 2 for a pair of lenses.

Procedure Codes

E-V2100

E-V2101

E-V2103
E-V2104
E-V2107

E-V2108

E-V2121

E-V2200

E-V2201

E-V2203

E-V2204

E-V2207

E-V2208

E-V2221

E-V2300

E-V2301

E-V2303

E-V2304

E-V2307

E-V2308

E-V2321

The maximum fee for procedure code E-V2121 is $70.46.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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