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V2110 — Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens

HCPCS Level II V-code · short descriptor: “Spherocylinder 4.25d/over 6d”

Code system
HCPCS Level II
Family
V — Vision & hearing services
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

V2110 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $58.09 to $79.86 depending on state and rural status.

Former-CBA payment limits: ceiling $79.86 · floor $59.90

StateNon-ruralRural
AK$67.07
AL$78.36
AR$60.05
AZ$62.62
CA$62.62
CO$59.90
CT$61.06
DC$79.86
DE$79.86
FL$78.36
GA$78.36
HI$71.72
IA$59.90
ID$59.90
IL$65.36
IN$65.36
KS$59.90
KY$78.36
LA$60.05
MA$61.06
MD$79.86
ME$61.06
MI$65.36
MN$65.36
MO$59.90
MS$78.36
MT$59.90
NC$78.36
ND$59.90
NE$59.90
NH$61.06
NJ$79.86
NM$60.05
NV$62.62
NY$79.86
OH$65.36
OK$60.05
OR$59.90
PA$79.86
PR$58.09
RI$61.06
SC$78.36
SD$59.90
TN$78.36
TX$60.05
UT$59.90
VA$79.86
VI$79.86
VT$61.06
WA$59.90
WI$65.36
WV$79.86
WY$59.90
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related V-codes

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