V2112 — Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens
HCPCS Level II V-code · short descriptor: “Spherocylindr 7.25d/2.25-4d”
- 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.
V2112 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $68.16 to $90.89 depending on state and rural status.
Former-CBA payment limits: ceiling $90.89 · floor $68.16
| State | Non-rural | Rural |
|---|---|---|
| AK | $83.59 | — |
| AL | $68.16 | — |
| AR | $90.89 | — |
| AZ | $77.47 | — |
| CA | $77.47 | — |
| CO | $68.16 | — |
| CT | $68.16 | — |
| DC | $90.85 | — |
| DE | $90.85 | — |
| FL | $68.16 | — |
| GA | $68.16 | — |
| HI | $89.40 | — |
| IA | $68.16 | — |
| ID | $69.18 | — |
| IL | $89.48 | — |
| IN | $89.48 | — |
| KS | $68.16 | — |
| KY | $68.16 | — |
| LA | $90.89 | — |
| MA | $68.16 | — |
| MD | $90.85 | — |
| ME | $68.16 | — |
| MI | $89.48 | — |
| MN | $89.48 | — |
| MO | $68.16 | — |
| MS | $68.16 | — |
| MT | $68.16 | — |
| NC | $68.16 | — |
| ND | $68.16 | — |
| NE | $68.16 | — |
| NH | $68.16 | — |
| NJ | $90.89 | — |
| NM | $90.89 | — |
| NV | $77.47 | — |
| NY | $90.89 | — |
| OH | $89.48 | — |
| OK | $90.89 | — |
| OR | $69.18 | — |
| PA | $90.85 | — |
| PR | $78.89 | — |
| RI | $68.16 | — |
| SC | $68.16 | — |
| SD | $68.16 | — |
| TN | $68.16 | — |
| TX | $90.89 | — |
| UT | $68.16 | — |
| VA | $90.85 | — |
| VI | $90.89 | — |
| VT | $68.16 | — |
| WA | $69.18 | — |
| WI | $89.48 | — |
| WV | $90.85 | — |
| WY | $68.16 | — |
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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