V2210 HCPCS code: Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens
V2210 is the HCPCS Level II code for spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens. The 2026 Medicare DMEPOS fee schedule pays $72.09 to $116.25 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume rose 6% from 2022 to 2023 (33 to 35 services). In 2023, 13 suppliers billed Medicare for V2210 (purchases), serving 20 beneficiaries. Its average fee ranks 13 of 20 V22 codes (family range $52.13–$138.51).
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1985-01-01 |
2026 Medicare DMEPOS fee schedule for V2210
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $72.09 | $116.25 | $116.25 | $87.19 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $97.38 | — |
| AL | — | $109.67 | — |
| AR | — | $90.37 | — |
| AZ | — | $93.95 | — |
| CA | — | $93.95 | — |
| CO | — | $91.07 | — |
| CT | — | $88.21 | — |
| DC | — | $116.25 | — |
| DE | — | $116.25 | — |
| FL | — | $109.67 | — |
| GA | — | $109.67 | — |
| HI | — | $104.12 | — |
| IA | — | $87.19 | — |
| ID | — | $96.10 | — |
| IL | — | $92.87 | — |
| IN | — | $92.87 | — |
| KS | — | $87.19 | — |
| KY | — | $109.67 | — |
| LA | — | $90.37 | — |
| MA | — | $88.21 | — |
| MD | — | $116.25 | — |
| ME | — | $88.21 | — |
| MI | — | $92.87 | — |
| MN | — | $92.87 | — |
| MO | — | $87.19 | — |
| MS | — | $109.67 | — |
| MT | — | $91.07 | — |
| NC | — | $109.67 | — |
| ND | — | $91.07 | — |
| NE | — | $87.19 | — |
| NH | — | $88.21 | — |
| NJ | — | $98.55 | — |
| NM | — | $90.37 | — |
| NV | — | $93.95 | — |
| NY | — | $98.55 | — |
| OH | — | $92.87 | — |
| OK | — | $90.37 | — |
| OR | — | $96.10 | — |
| PA | — | $116.25 | — |
| PR | — | $72.09 | — |
| RI | — | $88.21 | — |
| SC | — | $109.67 | — |
| SD | — | $91.07 | — |
| TN | — | $109.67 | — |
| TX | — | $90.37 | — |
| UT | — | $91.07 | — |
| VA | — | $116.25 | — |
| VI | — | $98.55 | — |
| VT | — | $88.21 | — |
| WA | — | $96.10 | — |
| WI | — | $92.87 | — |
| WV | — | $116.25 | — |
| WY | — | $91.07 | — |
How the V2210 fee compares
| Measure | Value |
|---|---|
| Rank among 20 V22 codes (lowest = 1) | 13 |
| Family fee range (average of state fees) | $52.13–$138.51 |
| Rural fee uplift | — |
Who bills V2210 (2023)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 13 |
| Referring clinicians | 17 |
| Medicare beneficiaries | 20 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 11 | 19 |
| 2023 | 13 | 20 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for V2210, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 33 | 19 | $72.14 | $53.23 |
| 2023 | 35 | 20 | $68.74 | $52.44 |
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 V2210
- 2026-01-01: Average state fee rose 2.0%: $95.22 to $97.13
- 1985-01-01: V2210 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 V2210?
V2210 is the HCPCS Level II code for spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens. Short descriptor: "Lens sphcy bifocal 4.25-7/ov".
How much does Medicare pay for V2210?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $72.09–$116.25. Rural fees can be higher.
Does Medicare cover V2210?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for V2210?
Medicare policy articles that cite V2210 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 V2210 change in 2026?
The average non-rural state fee moved from $95.22 in 2025 to $97.13 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2210 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V22 codes
- V2200 — Sphere, bifocal, plano to plus or minus 4.00d, per lens ($62.77–$83.69)
- V2201 — Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ($68.41–$97.51)
- V2202 — Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ($72.09–$107.33)
- V2203 — Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ($63.32–$85.46)
- V2204 — Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ($66.79–$88.26)
- V2205 — Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ($71.57–$95.43)
- V2206 — Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ($72.09–$102.53)
- V2207 — Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ($69.95–$94.02)
- V2208 — Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ($72.09–$104.60)
- V2209 — Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ($72.09–$103.98)
- V2211 — Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ($90.41–$131.58)
- V2212 — Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ($91.49–$124.48)
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 V2210
- Watch V2210 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2210
Sources: CMS HCPCS Level II release October 2026; 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.