HCPCS Level II · Vision, hearing and speech-language pathology services
V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About V2104
V2104 is an HCPCS Level II code in the V series (vision, hearing and speech-language pathology services), describing spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens.
It was added to HCPCS effective 01/01/1985, and its current record took effect 10/01/2003.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Spherocylindr 4.00d/2.12-4d
- Date added
- 01/01/1985
- Action effective
- 10/01/2003
- BETOS
- D1F
Related V21xx codes
- V2100Sphere, single vision, plano to plus or minus 4.00, per lens
- V2101Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens
- V2102Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens
- V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens
- V2105Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
- V2106Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
- V2107Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens
- V2108Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens
- V2109Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
- V2110Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens
- V2111Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
- V2112Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens
Common questions about V2104
Is HCPCS V2104 still valid?
- Yes. V2104 is active in the CMS October 2026 HCPCS file.
Does Medicare cover V2104?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.