V2121 HCPCS code: Lenticular lens, per lens, single
V2121 is the HCPCS Level II code for lenticular lens, per lens, single. The 2026 Medicare DMEPOS fee schedule pays $92.69 to $176.36 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 2 per day on DME suppliers. Its average fee ranks 18 of 18 V21 codes (family range $47.48–$105.99).
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 | 2004-01-01 |
| Last action effective | 2004-01-01 |
2026 Medicare DMEPOS fee schedule for V2121
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $92.69 | $176.36 | $123.58 | $92.69 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $164.95 | — |
| AL | — | $92.69 | — |
| AR | — | $123.58 | — |
| AZ | — | $123.58 | — |
| CA | — | $123.58 | — |
| CO | — | $95.78 | — |
| CT | — | $104.47 | — |
| DC | — | $96.87 | — |
| DE | — | $96.87 | — |
| FL | — | $92.69 | — |
| GA | — | $92.69 | — |
| HI | — | $176.36 | — |
| IA | — | $92.69 | — |
| ID | — | $113.57 | — |
| IL | — | $106.04 | — |
| IN | — | $106.04 | — |
| KS | — | $92.69 | — |
| KY | — | $92.69 | — |
| LA | — | $123.58 | — |
| MA | — | $104.47 | — |
| MD | — | $96.87 | — |
| ME | — | $104.47 | — |
| MI | — | $106.04 | — |
| MN | — | $106.04 | — |
| MO | — | $92.69 | — |
| MS | — | $92.69 | — |
| MT | — | $95.78 | — |
| NC | — | $92.69 | — |
| ND | — | $95.78 | — |
| NE | — | $92.69 | — |
| NH | — | $104.47 | — |
| NJ | — | $103.20 | — |
| NM | — | $123.58 | — |
| NV | — | $123.58 | — |
| NY | — | $103.20 | — |
| OH | — | $106.04 | — |
| OK | — | $123.58 | — |
| OR | — | $113.57 | — |
| PA | — | $96.87 | — |
| PR | — | $105.78 | — |
| RI | — | $104.47 | — |
| SC | — | $92.69 | — |
| SD | — | $95.78 | — |
| TN | — | $92.69 | — |
| TX | — | $123.58 | — |
| UT | — | $95.78 | — |
| VA | — | $96.87 | — |
| VI | — | $103.20 | — |
| VT | — | $104.47 | — |
| WA | — | $113.57 | — |
| WI | — | $106.04 | — |
| WV | — | $96.87 | — |
| WY | — | $95.78 | — |
How the V2121 fee compares
| Measure | Value |
|---|---|
| Rank among 18 V21 codes (lowest = 1) | 18 |
| Family fee range (average of state fees) | $47.48–$105.99 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
Medicare policy articles for this code
- A52499: Refractive Lenses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (6 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| H27.00 | Aphakia, unspecified eye | 1 |
| H27.01 | Aphakia, right eye | 1 |
| H27.02 | Aphakia, left eye | 1 |
| H27.03 | Aphakia, bilateral | 1 |
| Q12.3 | Congenital aphakia | 1 |
| Z96.1 | Presence of intraocular lens | 1 |
What changed for V2121
- 2026-01-01: Average state fee rose 2.0%: $103.91 to $105.99
- 2004-01-01: V2121 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 V2121?
V2121 is the HCPCS Level II code for lenticular lens, per lens, single. Short descriptor: "Lenticular lens, single".
How much does Medicare pay for V2121?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $92.69–$176.36. Rural fees can be higher.
Does Medicare cover V2121?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for V2121?
Medicare policy articles that cite V2121 list 6 covered ICD-10-CM diagnosis codes across 1 article. The most cited include H27.00 (Aphakia, unspecified eye), H27.01 (Aphakia, right eye), H27.02 (Aphakia, left eye). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for V2121 change in 2026?
The average non-rural state fee moved from $103.91 in 2025 to $105.99 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2121 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V21 codes
- V2100 — Sphere, single vision, plano to plus or minus 4.00, per lens ($45.07–$63.95)
- V2101 — Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ($50.53–$72.86)
- V2102 — Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ($58.09–$94.77)
- V2103 — Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ($41.63–$58.09)
- V2104 — Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ($46.12–$61.49)
- V2105 — Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ($50.21–$66.95)
- V2106 — Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ($55.71–$74.29)
- V2107 — Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ($52.98–$77.70)
- V2108 — Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ($54.87–$73.24)
- V2109 — Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ($58.09–$84.48)
- V2110 — Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ($58.09–$79.86)
- V2111 — Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ($62.44–$84.49)
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Next steps
- Run a reimbursement report for a device billed under V2121
- Watch V2121 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2121
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.