V2301 HCPCS code: Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
V2301 is the HCPCS Level II code for sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens. The 2026 Medicare DMEPOS fee schedule pays $94.18 to $123.97 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. Its average fee ranks 8 of 20 V23 codes (family range $65.79–$210.73).
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 |
| Last action effective | 2003-10-01 |
2026 Medicare DMEPOS fee schedule for V2301
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $94.18 | $123.97 | $125.58 | $94.18 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $115.37 | — |
| AL | — | $94.52 | — |
| AR | — | $123.97 | — |
| AZ | — | $109.16 | — |
| CA | — | $109.16 | — |
| CO | — | $94.18 | — |
| CT | — | $120.38 | — |
| DC | — | $113.69 | — |
| DE | — | $113.69 | — |
| FL | — | $94.52 | — |
| GA | — | $94.52 | — |
| HI | — | $123.31 | — |
| IA | — | $94.18 | — |
| ID | — | $97.11 | — |
| IL | — | $107.47 | — |
| IN | — | $107.47 | — |
| KS | — | $94.18 | — |
| KY | — | $94.52 | — |
| LA | — | $123.97 | — |
| MA | — | $120.38 | — |
| MD | — | $113.69 | — |
| ME | — | $120.38 | — |
| MI | — | $107.47 | — |
| MN | — | $107.47 | — |
| MO | — | $94.18 | — |
| MS | — | $94.52 | — |
| MT | — | $94.18 | — |
| NC | — | $94.52 | — |
| ND | — | $94.18 | — |
| NE | — | $94.18 | — |
| NH | — | $120.38 | — |
| NJ | — | $99.69 | — |
| NM | — | $123.97 | — |
| NV | — | $109.16 | — |
| NY | — | $99.69 | — |
| OH | — | $107.47 | — |
| OK | — | $123.97 | — |
| OR | — | $97.11 | — |
| PA | — | $113.69 | — |
| PR | — | $98.71 | — |
| RI | — | $120.38 | — |
| SC | — | $94.52 | — |
| SD | — | $94.18 | — |
| TN | — | $94.52 | — |
| TX | — | $123.97 | — |
| UT | — | $94.18 | — |
| VA | — | $113.69 | — |
| VI | — | $99.69 | — |
| VT | — | $120.38 | — |
| WA | — | $97.11 | — |
| WI | — | $107.47 | — |
| WV | — | $113.69 | — |
| WY | — | $94.18 | — |
How the V2301 fee compares
| Measure | Value |
|---|---|
| Rank among 20 V23 codes (lowest = 1) | 8 |
| Family fee range (average of state fees) | $65.79–$210.73 |
| 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 |
What changed for V2301
- 2026-01-01: Average state fee rose 2.0%: $104.00 to $106.08
- 1985-01-01: V2301 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 V2301?
V2301 is the HCPCS Level II code for sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens. Short descriptor: "Lens sphere trifocal 4.12-7.".
How much does Medicare pay for V2301?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $94.18–$123.97. Rural fees can be higher.
Does Medicare cover V2301?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for V2301 change in 2026?
The average non-rural state fee moved from $104.00 in 2025 to $106.08 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2301 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V23 codes
- V2300 — Sphere, trifocal, plano to plus or minus 4.00d, per lens ($79.89–$103.21)
- V2302 — Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ($81.52–$133.86)
- V2303 — Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ($78.62–$105.79)
- V2304 — Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ($82.40–$110.37)
- V2305 — Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ($95.32–$120.27)
- V2306 — Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ($98.15–$130.86)
- V2307 — Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ($92.92–$120.27)
- V2308 — Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ($97.38–$123.90)
- V2309 — Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ($98.71–$144.96)
- V2310 — Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ($98.71–$139.77)
- V2311 — Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ($109.08–$152.73)
- V2312 — Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ($109.70–$194.59)
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Next steps
- Run a reimbursement report for a device billed under V2301
- Watch V2301 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2301
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.