V2522 — Contact lens, hydrophilic, bifocal, per lens
HCPCS Level II V-code · short descriptor: “Cntct lens hydrophil bifocl”
- 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.
V2522 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $216.33 to $435.59 depending on state and rural status.
Former-CBA payment limits: ceiling $288.43 · floor $216.33
| State | Non-rural | Rural |
|---|---|---|
| AK | $374.69 | — |
| AL | $216.33 | — |
| AR | $288.43 | — |
| AZ | $288.43 | — |
| CA | $288.43 | — |
| CO | $216.33 | — |
| CT | $283.45 | — |
| DC | $233.98 | — |
| DE | $233.98 | — |
| FL | $216.33 | — |
| GA | $216.33 | — |
| HI | $400.67 | — |
| IA | $288.43 | — |
| ID | $216.33 | — |
| IL | $216.89 | — |
| IN | $216.89 | — |
| KS | $288.43 | — |
| KY | $216.33 | — |
| LA | $288.43 | — |
| MA | $283.45 | — |
| MD | $233.98 | — |
| ME | $283.45 | — |
| MI | $216.89 | — |
| MN | $216.89 | — |
| MO | $288.43 | — |
| MS | $216.33 | — |
| MT | $216.33 | — |
| NC | $216.33 | — |
| ND | $216.33 | — |
| NE | $288.43 | — |
| NH | $283.45 | — |
| NJ | $288.43 | — |
| NM | $288.43 | — |
| NV | $288.43 | — |
| NY | $288.43 | — |
| OH | $216.89 | — |
| OK | $288.43 | — |
| OR | $216.33 | — |
| PA | $233.98 | — |
| PR | $435.59 | — |
| RI | $283.45 | — |
| SC | $216.33 | — |
| SD | $216.33 | — |
| TN | $216.33 | — |
| TX | $288.43 | — |
| UT | $216.33 | — |
| VA | $233.98 | — |
| VI | $288.43 | — |
| VT | $283.45 | — |
| WA | $216.33 | — |
| WI | $216.89 | — |
| WV | $233.98 | — |
| WY | $216.33 | — |
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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