MyMedi-AI

V2718 — Press-on lens, fresnell prism, per lens

HCPCS Level II V-code · short descriptor: “Fresnell prism press-on 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.

V2718 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $34.95 to $96.72 depending on state and rural status.

Former-CBA payment limits: ceiling $46.61 · floor $34.95

StateNon-ruralRural
AK$90.46
AL$34.95
AR$39.93
AZ$46.61
CA$46.61
CO$34.95
CT$45.19
DC$36.25
DE$36.25
FL$34.95
GA$34.95
HI$96.72
IA$34.95
ID$34.95
IL$38.11
IN$38.11
KS$34.95
KY$34.95
LA$39.93
MA$45.19
MD$36.25
ME$45.19
MI$38.11
MN$38.11
MO$34.95
MS$34.95
MT$34.95
NC$34.95
ND$34.95
NE$34.95
NH$45.19
NJ$43.28
NM$39.93
NV$46.61
NY$43.28
OH$38.11
OK$39.93
OR$34.95
PA$36.25
PR$50.33
RI$45.19
SC$34.95
SD$34.95
TN$34.95
TX$39.93
UT$34.95
VA$36.25
VI$43.29
VT$45.19
WA$34.95
WI$38.11
WV$36.25
WY$34.95
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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