V2303 — Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens
HCPCS Level II V-code · short descriptor: “Lens sphcy trifocal 4.0/.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.
V2303 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $78.62 to $105.79 depending on state and rural status.
Former-CBA payment limits: ceiling $104.83 · floor $78.62
| State | Non-rural | Rural |
|---|---|---|
| AK | $98.95 | — |
| AL | $85.79 | — |
| AR | $89.96 | — |
| AZ | $95.65 | — |
| CA | $95.65 | — |
| CO | $84.24 | — |
| CT | $89.28 | — |
| DC | $88.83 | — |
| DE | $88.83 | — |
| FL | $85.79 | — |
| GA | $85.79 | — |
| HI | $105.79 | — |
| IA | $78.62 | — |
| ID | $91.84 | — |
| IL | $84.34 | — |
| IN | $84.34 | — |
| KS | $78.62 | — |
| KY | $85.79 | — |
| LA | $89.96 | — |
| MA | $89.28 | — |
| MD | $88.83 | — |
| ME | $89.28 | — |
| MI | $84.34 | — |
| MN | $84.34 | — |
| MO | $78.62 | — |
| MS | $85.79 | — |
| MT | $84.24 | — |
| NC | $85.79 | — |
| ND | $84.24 | — |
| NE | $78.62 | — |
| NH | $89.28 | — |
| NJ | $98.55 | — |
| NM | $89.96 | — |
| NV | $95.65 | — |
| NY | $98.55 | — |
| OH | $84.34 | — |
| OK | $89.96 | — |
| OR | $91.84 | — |
| PA | $88.83 | — |
| PR | $98.71 | — |
| RI | $89.28 | — |
| SC | $85.79 | — |
| SD | $84.24 | — |
| TN | $85.79 | — |
| TX | $89.96 | — |
| UT | $84.24 | — |
| VA | $88.83 | — |
| VI | $98.55 | — |
| VT | $89.28 | — |
| WA | $91.84 | — |
| WI | $84.34 | — |
| WV | $88.83 | — |
| WY | $84.24 | — |
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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