V2121 — Lenticular lens, per lens, single
HCPCS Level II V-code · short descriptor: “Lenticular lens, single”
- Code system
- HCPCS Level II
- Family
- V — Vision & hearing services
- Medicare coverage status
- Special coverage instructions apply
- 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.
V2121 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $92.69 to $176.36 depending on state and rural status.
Former-CBA payment limits: ceiling $123.58 · floor $92.69
| State | Non-rural | Rural |
|---|---|---|
| AK | $164.95 | — |
| AL | $92.69 | — |
| AR | $123.58 | — |
| AZ | $123.58 | — |
| CA | $123.58 | — |
| CO | $95.78 | — |
| CT | $104.47 | — |
| DC | $96.87 | — |
| DE | $96.87 | — |
| FL | $92.69 | — |
| GA | $92.69 | — |
| HI | $176.36 | — |
| IA | $92.69 | — |
| ID | $113.57 | — |
| IL | $106.04 | — |
| IN | $106.04 | — |
| KS | $92.69 | — |
| KY | $92.69 | — |
| LA | $123.58 | — |
| MA | $104.47 | — |
| MD | $96.87 | — |
| ME | $104.47 | — |
| MI | $106.04 | — |
| MN | $106.04 | — |
| MO | $92.69 | — |
| MS | $92.69 | — |
| MT | $95.78 | — |
| NC | $92.69 | — |
| ND | $95.78 | — |
| NE | $92.69 | — |
| NH | $104.47 | — |
| NJ | $103.20 | — |
| NM | $123.58 | — |
| NV | $123.58 | — |
| NY | $103.20 | — |
| OH | $106.04 | — |
| OK | $123.58 | — |
| OR | $113.57 | — |
| PA | $96.87 | — |
| PR | $105.78 | — |
| RI | $104.47 | — |
| SC | $92.69 | — |
| SD | $95.78 | — |
| TN | $92.69 | — |
| TX | $123.58 | — |
| UT | $95.78 | — |
| VA | $96.87 | — |
| VI | $103.20 | — |
| VT | $104.47 | — |
| WA | $113.57 | — |
| WI | $106.04 | — |
| WV | $96.87 | — |
| WY | $95.78 | — |
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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