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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

StateNon-ruralRural
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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