V2221 — Lenticular lens, per lens, bifocal
HCPCS Level II V-code · short descriptor: “Lenticular lens, bifocal”
- 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.
V2221 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $108.14 to $225.51 depending on state and rural status.
Former-CBA payment limits: ceiling $144.18 · floor $108.14
| State | Non-rural | Rural |
|---|---|---|
| AK | $210.92 | — |
| AL | $118.11 | — |
| AR | $123.13 | — |
| AZ | $144.18 | — |
| CA | $144.18 | — |
| CO | $111.54 | — |
| CT | $130.13 | — |
| DC | $116.00 | — |
| DE | $116.00 | — |
| FL | $118.11 | — |
| GA | $118.11 | — |
| HI | $225.51 | — |
| IA | $108.14 | — |
| ID | $118.59 | — |
| IL | $108.14 | — |
| IN | $108.14 | — |
| KS | $108.14 | — |
| KY | $118.11 | — |
| LA | $123.13 | — |
| MA | $130.13 | — |
| MD | $116.00 | — |
| ME | $130.13 | — |
| MI | $108.14 | — |
| MN | $108.14 | — |
| MO | $108.14 | — |
| MS | $118.11 | — |
| MT | $111.54 | — |
| NC | $118.11 | — |
| ND | $111.54 | — |
| NE | $108.14 | — |
| NH | $130.13 | — |
| NJ | $118.37 | — |
| NM | $123.13 | — |
| NV | $144.18 | — |
| NY | $118.37 | — |
| OH | $108.14 | — |
| OK | $123.13 | — |
| OR | $118.59 | — |
| PA | $116.00 | — |
| PR | $123.21 | — |
| RI | $130.13 | — |
| SC | $118.11 | — |
| SD | $111.54 | — |
| TN | $118.11 | — |
| TX | $123.13 | — |
| UT | $111.54 | — |
| VA | $116.00 | — |
| VI | $118.40 | — |
| VT | $130.13 | — |
| WA | $118.59 | — |
| WI | $108.14 | — |
| WV | $116.00 | — |
| WY | $111.54 | — |
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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