V2321 — Lenticular lens, per lens, trifocal
HCPCS Level II V-code · short descriptor: “Lenticular lens, trifocal”
- 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.
V2321 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $143.98 to $211.38 depending on state and rural status.
Former-CBA payment limits: ceiling $191.98 · floor $143.98
| State | Non-rural | Rural |
|---|---|---|
| AK | $197.66 | — |
| AL | $191.98 | — |
| AR | $145.66 | — |
| AZ | $178.47 | — |
| CA | $178.47 | — |
| CO | $143.98 | — |
| CT | $191.98 | — |
| DC | $143.98 | — |
| DE | $143.98 | — |
| FL | $191.98 | — |
| GA | $191.98 | — |
| HI | $211.38 | — |
| IA | $143.98 | — |
| ID | $143.98 | — |
| IL | $143.98 | — |
| IN | $143.98 | — |
| KS | $143.98 | — |
| KY | $191.98 | — |
| LA | $145.66 | — |
| MA | $191.98 | — |
| MD | $143.98 | — |
| ME | $191.98 | — |
| MI | $143.98 | — |
| MN | $143.98 | — |
| MO | $143.98 | — |
| MS | $191.98 | — |
| MT | $143.98 | — |
| NC | $191.98 | — |
| ND | $143.98 | — |
| NE | $143.98 | — |
| NH | $191.98 | — |
| NJ | $174.14 | — |
| NM | $145.66 | — |
| NV | $178.47 | — |
| NY | $174.14 | — |
| OH | $143.98 | — |
| OK | $145.66 | — |
| OR | $143.98 | — |
| PA | $143.98 | — |
| PR | $185.42 | — |
| RI | $191.98 | — |
| SC | $191.98 | — |
| SD | $143.98 | — |
| TN | $191.98 | — |
| TX | $145.66 | — |
| UT | $143.98 | — |
| VA | $143.98 | — |
| VI | $174.19 | — |
| VT | $191.98 | — |
| WA | $143.98 | — |
| WI | $143.98 | — |
| WV | $143.98 | — |
| WY | $143.98 | — |
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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