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

    
 

45.4.5.3 Replacements

Providers must use the procedure codes in the table below when billing for lost or destroyed eyewear (only available for clients younger than 21 years of age). Use modifier RP to indicate replacement. Bill the appropriate quantity of lenses.

Procedure Code

E-V2020

E-V2025

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

Refer to: "Contact Lenses" for prior authorization information.
Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
PreviousNextIndex