V2020 HCPCS code: Frames, purchases
V2020 is the HCPCS Level II code for frames, purchases. The 2026 Medicare DMEPOS fee schedule pays $58.09 to $120.89 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1985-01-01 |
| Last action effective | 2003-10-01 |
2026 Medicare DMEPOS fee schedule for V2020
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $58.09 | $120.89 | $102.35 | $76.76 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $113.05 | — |
| AL | — | $98.67 | — |
| AR | — | $82.43 | — |
| AZ | — | $102.35 | — |
| CA | — | $102.35 | — |
| CO | — | $89.94 | — |
| CT | — | $86.75 | — |
| DC | — | $76.76 | — |
| DE | — | $76.76 | — |
| FL | — | $98.67 | — |
| GA | — | $98.67 | — |
| HI | — | $120.89 | — |
| IA | — | $80.87 | — |
| ID | — | $86.80 | — |
| IL | — | $92.10 | — |
| IN | — | $92.10 | — |
| KS | — | $80.87 | — |
| KY | — | $98.67 | — |
| LA | — | $82.43 | — |
| MA | — | $86.75 | — |
| MD | — | $76.76 | — |
| ME | — | $86.75 | — |
| MI | — | $92.10 | — |
| MN | — | $92.10 | — |
| MO | — | $80.87 | — |
| MS | — | $98.67 | — |
| MT | — | $89.94 | — |
| NC | — | $98.67 | — |
| ND | — | $89.94 | — |
| NE | — | $80.87 | — |
| NH | — | $86.75 | — |
| NJ | — | $76.76 | — |
| NM | — | $82.43 | — |
| NV | — | $102.35 | — |
| NY | — | $76.76 | — |
| OH | — | $92.10 | — |
| OK | — | $82.43 | — |
| OR | — | $86.80 | — |
| PA | — | $76.76 | — |
| PR | — | $58.09 | — |
| RI | — | $86.75 | — |
| SC | — | $98.67 | — |
| SD | — | $89.94 | — |
| TN | — | $98.67 | — |
| TX | — | $82.43 | — |
| UT | — | $89.94 | — |
| VA | — | $76.76 | — |
| VI | — | $76.76 | — |
| VT | — | $86.75 | — |
| WA | — | $86.80 | — |
| WI | — | $92.10 | — |
| WV | — | $76.76 | — |
| WY | — | $89.94 | — |
How the V2020 fee compares
| Measure | Value |
|---|---|
| Rank among 1 V20 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $88.45–$88.45 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: Data |
| outpatient hospital claims | 1 | Clinical: Data |
What changed for V2020
- 2026-01-01: Average state fee rose 2.0%: $86.72 to $88.45
- 1985-01-01: V2020 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code V2020?
V2020 is the HCPCS Level II code for frames, purchases. Short descriptor: "Vision svcs frames purchases".
How much does Medicare pay for V2020?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $58.09–$120.89. Rural fees can be higher.
Does Medicare cover V2020?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for V2020 change in 2026?
The average non-rural state fee moved from $86.72 in 2025 to $88.45 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2020 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related V20 codes
- V2025 — Deluxe frame
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under V2020
- Watch V2020 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2020
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.