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
- 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.
V2524 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $135.23 to $402.59 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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 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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