V2315 — Lenticular, (myodisc), per lens, trifocal
HCPCS Level II V-code · short descriptor: “Lens lenticular trifocal”
- 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.
V2315 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $146.08 to $222.77 depending on state and rural status.
Former-CBA payment limits: ceiling $194.77 · floor $146.08
| State | Non-rural | Rural |
|---|---|---|
| AK | $208.31 | — |
| AL | $194.77 | — |
| AR | $146.08 | — |
| AZ | $188.12 | — |
| CA | $188.12 | — |
| CO | $146.08 | — |
| CT | $194.77 | — |
| DC | $146.08 | — |
| DE | $146.08 | — |
| FL | $194.77 | — |
| GA | $194.77 | — |
| HI | $222.77 | — |
| IA | $146.08 | — |
| ID | $148.93 | — |
| IL | $146.08 | — |
| IN | $146.08 | — |
| KS | $146.08 | — |
| KY | $194.77 | — |
| LA | $146.08 | — |
| MA | $194.77 | — |
| MD | $146.08 | — |
| ME | $194.77 | — |
| MI | $146.08 | — |
| MN | $146.08 | — |
| MO | $146.08 | — |
| MS | $194.77 | — |
| MT | $146.08 | — |
| NC | $194.77 | — |
| ND | $146.08 | — |
| NE | $146.08 | — |
| NH | $194.77 | — |
| NJ | $176.26 | — |
| NM | $146.08 | — |
| NV | $188.12 | — |
| NY | $176.26 | — |
| OH | $146.08 | — |
| OK | $146.08 | — |
| OR | $148.93 | — |
| PA | $146.08 | — |
| PR | $198.02 | — |
| RI | $194.77 | — |
| SC | $194.77 | — |
| SD | $146.08 | — |
| TN | $194.77 | — |
| TX | $146.08 | — |
| UT | $146.08 | — |
| VA | $146.08 | — |
| VI | $176.26 | — |
| VT | $194.77 | — |
| WA | $148.93 | — |
| WI | $146.08 | — |
| WV | $146.08 | — |
| WY | $146.08 | — |
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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