MyMedi-AI

V2410 — Variable asphericity lens, single vision, full field, glass or plastic, per lens

HCPCS Level II V-code · short descriptor: “Lens variab asphericity sing”

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-26; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

V2410 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $109.77 to $172.48 depending on state and rural status.

Former-CBA payment limits: ceiling $146.36 · floor $109.77

StateNon-ruralRural
AK$161.31—
AL$109.77—
AR$129.49—
AZ$146.36—
CA$146.36—
CO$146.36—
CT$109.77—
DC$127.47—
DE$127.47—
FL$109.77—
GA$109.77—
HI$172.48—
IA$109.77—
ID$129.88—
IL$125.88—
IN$125.88—
KS$109.77—
KY$109.77—
LA$129.49—
MA$109.77—
MD$127.47—
ME$109.77—
MI$125.88—
MN$125.88—
MO$109.77—
MS$109.77—
MT$146.36—
NC$109.77—
ND$146.36—
NE$109.77—
NH$109.77—
NJ$135.36—
NM$129.49—
NV$146.36—
NY$135.36—
OH$125.88—
OK$129.49—
OR$129.88—
PA$127.47—
PR$169.88—
RI$109.77—
SC$109.77—
SD$146.36—
TN$109.77—
TX$129.49—
UT$146.36—
VA$127.47—
VI$135.36—
VT$109.77—
WA$129.88—
WI$125.88—
WV$127.47—
WY$146.36—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps V2410 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.

Common denial codes to watch

Related V-codes

Bill V2410 with confidence

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