V2214 — Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens
HCPCS Level II V-code · short descriptor: “Lens sphcyl bifocal over 12.”
- 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.
V2214 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $91.49 to $136.68 depending on state and rural status.
Former-CBA payment limits: ceiling $136.68 · floor $102.51
| State | Non-rural | Rural |
|---|---|---|
| AK | $121.87 | — |
| AL | $111.84 | — |
| AR | $102.51 | — |
| AZ | $112.83 | — |
| CA | $112.83 | — |
| CO | $119.52 | — |
| CT | $102.51 | — |
| DC | $136.68 | — |
| DE | $136.68 | — |
| FL | $111.84 | — |
| GA | $111.84 | — |
| HI | $130.31 | — |
| IA | $105.55 | — |
| ID | $106.90 | — |
| IL | $104.00 | — |
| IN | $104.00 | — |
| KS | $105.55 | — |
| KY | $111.84 | — |
| LA | $102.51 | — |
| MA | $102.51 | — |
| MD | $136.68 | — |
| ME | $102.51 | — |
| MI | $104.00 | — |
| MN | $104.00 | — |
| MO | $105.55 | — |
| MS | $111.84 | — |
| MT | $119.52 | — |
| NC | $111.84 | — |
| ND | $119.52 | — |
| NE | $105.55 | — |
| NH | $102.51 | — |
| NJ | $131.41 | — |
| NM | $102.51 | — |
| NV | $112.83 | — |
| NY | $131.41 | — |
| OH | $104.00 | — |
| OK | $102.51 | — |
| OR | $106.90 | — |
| PA | $136.68 | — |
| PR | $91.49 | — |
| RI | $102.51 | — |
| SC | $111.84 | — |
| SD | $119.52 | — |
| TN | $111.84 | — |
| TX | $102.51 | — |
| UT | $119.52 | — |
| VA | $136.68 | — |
| VI | $131.39 | — |
| VT | $102.51 | — |
| WA | $106.90 | — |
| WI | $104.00 | — |
| WV | $136.68 | — |
| WY | $119.52 | — |
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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