V2531 — Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)
HCPCS Level II V-code · short descriptor: “Contact lens gas permeable”
- 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.
V2531 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $650.75 to $715.83 depending on state and rural status.
Former-CBA payment limits: ceiling $799.22 · floor $599.42
| State | Non-rural | Rural |
|---|---|---|
| AK | $657.26 | — |
| AL | $670.31 | — |
| AR | $670.24 | — |
| AZ | $650.75 | — |
| CA | $650.75 | — |
| CO | $671.91 | — |
| CT | $683.61 | — |
| DC | $650.75 | — |
| DE | $650.75 | — |
| FL | $670.31 | — |
| GA | $670.31 | — |
| HI | $702.81 | — |
| IA | $662.80 | — |
| ID | $650.75 | — |
| IL | $666.71 | — |
| IN | $666.71 | — |
| KS | $662.80 | — |
| KY | $670.31 | — |
| LA | $670.24 | — |
| MA | $683.61 | — |
| MD | $650.75 | — |
| ME | $683.61 | — |
| MI | $666.71 | — |
| MN | $666.71 | — |
| MO | $662.80 | — |
| MS | $670.31 | — |
| MT | $671.91 | — |
| NC | $670.31 | — |
| ND | $671.91 | — |
| NE | $662.80 | — |
| NH | $683.61 | — |
| NJ | $663.82 | — |
| NM | $670.24 | — |
| NV | $650.75 | — |
| NY | $663.82 | — |
| OH | $666.71 | — |
| OK | $670.24 | — |
| OR | $650.75 | — |
| PA | $650.75 | — |
| PR | $715.83 | — |
| RI | $683.61 | — |
| SC | $670.31 | — |
| SD | $671.91 | — |
| TN | $670.31 | — |
| TX | $670.24 | — |
| UT | $671.91 | — |
| VA | $650.75 | — |
| VI | $715.83 | — |
| VT | $683.61 | — |
| WA | $650.75 | — |
| WI | $666.71 | — |
| WV | $650.75 | — |
| WY | $671.91 | — |
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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