MyMedi-AI

V2744 — Tint, photochromatic, per lens

HCPCS Level II V-code · short descriptor: “Tint photochromatic lens/es”

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

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

V2744 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $15.43 to $26.78 depending on state and rural status.

Former-CBA payment limits: ceiling $26.78 · floor $20.09

StateNon-ruralRural
AK$15.44—
AL$26.78—
AR$25.56—
AZ$20.09—
CA$20.09—
CO$20.09—
CT$20.09—
DC$20.09—
DE$20.09—
FL$26.78—
GA$26.78—
HI$16.60—
IA$20.09—
ID$22.24—
IL$21.83—
IN$21.83—
KS$20.09—
KY$26.78—
LA$25.56—
MA$20.09—
MD$20.09—
ME$20.09—
MI$21.83—
MN$21.83—
MO$20.09—
MS$26.78—
MT$20.09—
NC$26.78—
ND$20.09—
NE$20.09—
NH$20.09—
NJ$20.33—
NM$25.56—
NV$20.09—
NY$20.33—
OH$21.83—
OK$25.56—
OR$22.24—
PA$20.09—
PR$15.43—
RI$20.09—
SC$26.78—
SD$20.09—
TN$26.78—
TX$25.56—
UT$20.09—
VA$20.09—
VI$20.33—
VT$20.09—
WA$22.24—
WI$21.83—
WV$20.09—
WY$20.09—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps V2744 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.

Common denial codes to watch

Related V-codes

Bill V2744 with confidence

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