MyMedi-AI

V2524 — Contact lens, hydrophilic, spherical, photochromic additive, per lens

HCPCS Level II V-code · short descriptor: “Cntct lens hydrophil photoch”

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
Face-to-face & WOPD
Not on the required list
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 2026-10-25; 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 2026-10-25; 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.

V2524 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $135.23 to $402.59 depending on state and rural status.

StateNon-ruralRural
AK$135.23—
AL$154.45—
AR$180.12—
AZ$147.76—
CA$147.76—
CO$147.76—
CT$170.37—
DC$186.27—
DE$186.27—
FL$154.45—
GA$154.45—
HI$144.64—
IA$170.06—
ID$165.42—
IL$171.49—
IN$171.49—
KS$170.06—
KY$154.45—
LA$180.12—
MA$170.37—
MD$186.27—
ME$170.37—
MI$171.49—
MN$171.49—
MO$170.06—
MS$154.45—
MT$147.76—
NC$154.45—
ND$147.76—
NE$170.06—
NH$170.37—
NJ$190.55—
NM$180.12—
NV$147.76—
NY$190.55—
OH$171.49—
OK$180.12—
OR$165.42—
PA$186.27—
PR$402.59—
RI$170.37—
SC$154.45—
SD$147.76—
TN$154.45—
TX$180.12—
UT$147.76—
VA$186.27—
VI$190.55—
VT$170.37—
WA$165.42—
WI$171.49—
WV$186.27—
WY$147.76—
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.

Common denial codes to watch

Related V-codes

Bill V2524 with confidence

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