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V2218 — Aniseikonic, per lens, bifocal

HCPCS Level II V-code · short descriptor: “Lens aniseikonic bifocal”

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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

V2218 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $123.83 to $165.11 depending on state and rural status.

Former-CBA payment limits: ceiling $165.11 · floor $123.83

StateNon-ruralRural
AK$146.84
AL$123.83
AR$123.83
AZ$133.19
CA$133.19
CO$123.83
CT$165.11
DC$165.11
DE$165.11
FL$123.83
GA$123.83
HI$157.01
IA$125.21
ID$134.43
IL$132.32
IN$132.32
KS$125.21
KY$123.83
LA$123.83
MA$165.11
MD$165.11
ME$165.11
MI$132.32
MN$132.32
MO$125.21
MS$123.83
MT$123.83
NC$123.83
ND$123.83
NE$125.21
NH$165.11
NJ$158.92
NM$123.83
NV$133.19
NY$158.92
OH$132.32
OK$123.83
OR$134.43
PA$165.11
PR$128.67
RI$165.11
SC$123.83
SD$123.83
TN$123.83
TX$123.83
UT$123.83
VA$165.11
VI$158.92
VT$165.11
WA$134.43
WI$132.32
WV$165.11
WY$123.83
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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