V2530 — Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)
HCPCS Level II V-code · short descriptor: “Contact lens gas impermeable”
- 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
- 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.
V2530 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $149.75 to $364.07 depending on state and rural status.
Former-CBA payment limits: ceiling $364.07 · floor $273.05
| State | Non-rural | Rural |
|---|---|---|
| AK | $149.75 | — |
| AL | $273.05 | — |
| AR | $348.04 | — |
| AZ | $273.05 | — |
| CA | $273.05 | — |
| CO | $297.16 | — |
| CT | $364.07 | — |
| DC | $312.38 | — |
| DE | $312.38 | — |
| FL | $273.05 | — |
| GA | $273.05 | — |
| HI | $160.11 | — |
| IA | $273.05 | — |
| ID | $273.05 | — |
| IL | $364.07 | — |
| IN | $364.07 | — |
| KS | $273.05 | — |
| KY | $273.05 | — |
| LA | $348.04 | — |
| MA | $364.07 | — |
| MD | $312.38 | — |
| ME | $364.07 | — |
| MI | $364.07 | — |
| MN | $364.07 | — |
| MO | $273.05 | — |
| MS | $273.05 | — |
| MT | $297.16 | — |
| NC | $273.05 | — |
| ND | $297.16 | — |
| NE | $273.05 | — |
| NH | $364.07 | — |
| NJ | $273.05 | — |
| NM | $348.04 | — |
| NV | $273.05 | — |
| NY | $273.05 | — |
| OH | $364.07 | — |
| OK | $348.04 | — |
| OR | $273.05 | — |
| PA | $312.38 | — |
| PR | $245.95 | — |
| RI | $364.07 | — |
| SC | $273.05 | — |
| SD | $297.16 | — |
| TN | $273.05 | — |
| TX | $348.04 | — |
| UT | $297.16 | — |
| VA | $312.38 | — |
| VI | $273.05 | — |
| VT | $364.07 | — |
| WA | $273.05 | — |
| WI | $364.07 | — |
| WV | $312.38 | — |
| WY | $297.16 | — |
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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