MyMedi-AI

V2700 — Balance lens, per lens

HCPCS Level II V-code · short descriptor: “Balance lens”

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
Face-to-face & WOPD
Not on the required 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.

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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

V2700 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $53.63 to $99.58 depending on state and rural status.

Former-CBA payment limits: ceiling $71.50 · floor $53.63

StateNon-ruralRural
AK$93.10
AL$53.63
AR$64.87
AZ$71.50
CA$71.50
CO$63.23
CT$56.20
DC$65.91
DE$65.91
FL$53.63
GA$53.63
HI$99.58
IA$56.92
ID$53.63
IL$54.90
IN$54.90
KS$56.92
KY$53.63
LA$64.87
MA$56.20
MD$65.91
ME$56.20
MI$54.90
MN$54.90
MO$56.92
MS$53.63
MT$63.23
NC$53.63
ND$63.23
NE$56.92
NH$56.20
NJ$61.80
NM$64.87
NV$71.50
NY$61.80
OH$54.90
OK$64.87
OR$53.63
PA$65.91
PR$58.16
RI$56.20
SC$53.63
SD$63.23
TN$53.63
TX$64.87
UT$63.23
VA$65.91
VI$61.80
VT$56.20
WA$53.63
WI$54.90
WV$65.91
WY$63.23
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

Bill V2700 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, V2700 included, and starter credits via POST /bot-marketplace/register.