V2783 — Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens
HCPCS Level II V-code · short descriptor: “Lens, >= 1.66 p/>=1.80 g”
- 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
- 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.
V2783 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $87.21 to $95.98 depending on state and rural status.
Former-CBA payment limits: ceiling $106.44 · floor $79.83
| State | Non-rural | Rural |
|---|---|---|
| AK | $87.21 | — |
| AL | $89.85 | — |
| AR | $89.83 | — |
| AZ | $87.21 | — |
| CA | $87.21 | — |
| CO | $90.37 | — |
| CT | $87.21 | — |
| DC | $87.21 | — |
| DE | $87.21 | — |
| FL | $89.85 | — |
| GA | $89.85 | — |
| HI | $87.21 | — |
| IA | $88.89 | — |
| ID | $87.21 | — |
| IL | $89.39 | — |
| IN | $89.39 | — |
| KS | $88.89 | — |
| KY | $89.85 | — |
| LA | $89.83 | — |
| MA | $87.21 | — |
| MD | $87.21 | — |
| ME | $87.21 | — |
| MI | $89.39 | — |
| MN | $89.39 | — |
| MO | $88.89 | — |
| MS | $89.85 | — |
| MT | $90.37 | — |
| NC | $89.85 | — |
| ND | $90.37 | — |
| NE | $88.89 | — |
| NH | $87.21 | — |
| NJ | $87.21 | — |
| NM | $89.83 | — |
| NV | $87.21 | — |
| NY | $87.21 | — |
| OH | $89.39 | — |
| OK | $89.83 | — |
| OR | $87.21 | — |
| PA | $87.21 | — |
| PR | $95.98 | — |
| RI | $87.21 | — |
| SC | $89.85 | — |
| SD | $90.37 | — |
| TN | $89.85 | — |
| TX | $89.83 | — |
| UT | $90.37 | — |
| VA | $87.21 | — |
| VI | $95.98 | — |
| VT | $87.21 | — |
| WA | $87.21 | — |
| WI | $89.39 | — |
| WV | $87.21 | — |
| WY | $90.37 | — |
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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