MyMedi-AI

V2710 — Slab off prism, glass or plastic, per lens

HCPCS Level II V-code · short descriptor: “Glass/plastic slab off prism”

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.

V2710 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $78.50 to $154.85 depending on state and rural status.

Former-CBA payment limits: ceiling $104.66 · floor $78.50

StateNon-ruralRural
AK$107.53
AL$78.50
AR$97.39
AZ$99.11
CA$99.11
CO$94.65
CT$78.50
DC$92.08
DE$92.08
FL$78.50
GA$78.50
HI$114.97
IA$92.66
ID$78.50
IL$89.99
IN$89.99
KS$92.66
KY$78.50
LA$97.39
MA$78.50
MD$92.08
ME$78.50
MI$89.99
MN$89.99
MO$92.66
MS$78.50
MT$94.65
NC$78.50
ND$94.65
NE$92.66
NH$78.50
NJ$104.66
NM$97.39
NV$99.11
NY$104.66
OH$89.99
OK$97.39
OR$78.50
PA$92.08
PR$154.85
RI$78.50
SC$78.50
SD$94.65
TN$78.50
TX$97.39
UT$94.65
VA$92.08
VI$104.66
VT$78.50
WA$78.50
WI$89.99
WV$92.08
WY$94.65
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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