V2770 — Occluder lens, per lens
HCPCS Level II V-code · short descriptor: “Occluder lens/es”
- 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.
V2770 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $23.89 to $52.24 depending on state and rural status.
Former-CBA payment limits: ceiling $31.86 · floor $23.89
| State | Non-rural | Rural |
|---|---|---|
| AK | $48.87 | — |
| AL | $25.31 | — |
| AR | $26.20 | — |
| AZ | $31.86 | — |
| CA | $31.86 | — |
| CO | $24.45 | — |
| CT | $31.86 | — |
| DC | $23.89 | — |
| DE | $23.89 | — |
| FL | $25.31 | — |
| GA | $25.31 | — |
| HI | $52.24 | — |
| IA | $28.13 | — |
| ID | $24.11 | — |
| IL | $23.89 | — |
| IN | $23.89 | — |
| KS | $28.13 | — |
| KY | $25.31 | — |
| LA | $26.20 | — |
| MA | $31.86 | — |
| MD | $23.89 | — |
| ME | $31.86 | — |
| MI | $23.89 | — |
| MN | $23.89 | — |
| MO | $28.13 | — |
| MS | $25.31 | — |
| MT | $24.45 | — |
| NC | $25.31 | — |
| ND | $24.45 | — |
| NE | $28.13 | — |
| NH | $31.86 | — |
| NJ | $30.64 | — |
| NM | $26.20 | — |
| NV | $31.86 | — |
| NY | $30.64 | — |
| OH | $23.89 | — |
| OK | $26.20 | — |
| OR | $24.11 | — |
| PA | $23.89 | — |
| PR | $38.70 | — |
| RI | $31.86 | — |
| SC | $25.31 | — |
| SD | $24.45 | — |
| TN | $25.31 | — |
| TX | $26.20 | — |
| UT | $24.45 | — |
| VA | $23.89 | — |
| VI | $30.64 | — |
| VT | $31.86 | — |
| WA | $24.11 | — |
| WI | $23.89 | — |
| WV | $23.89 | — |
| WY | $24.45 | — |
Common denial codes to watch
Related V-codes
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