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V2309 — Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

HCPCS Level II V-code · short descriptor: “Lens sphc trifocal 4.25-7/4.”

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.

V2309 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $98.71 to $144.96 depending on state and rural status.

Former-CBA payment limits: ceiling $141.46 · floor $106.09

StateNon-ruralRural
AK$135.60
AL$127.06
AR$114.45
AZ$126.93
CA$126.93
CO$106.09
CT$141.46
DC$128.03
DE$128.03
FL$127.06
GA$127.06
HI$144.96
IA$106.09
ID$114.43
IL$106.67
IN$106.67
KS$106.09
KY$127.06
LA$114.45
MA$141.46
MD$128.03
ME$141.46
MI$106.67
MN$106.67
MO$106.09
MS$127.06
MT$106.09
NC$127.06
ND$106.09
NE$106.09
NH$141.46
NJ$111.71
NM$114.45
NV$126.93
NY$111.71
OH$106.67
OK$114.45
OR$114.43
PA$128.03
PR$98.71
RI$141.46
SC$127.06
SD$106.09
TN$127.06
TX$114.45
UT$106.09
VA$128.03
VI$111.71
VT$141.46
WA$114.43
WI$106.67
WV$128.03
WY$106.09
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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