V2312 HCPCS code: Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens
V2312 is the HCPCS Level II code for spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens. The 2026 Medicare DMEPOS fee schedule pays $109.70 to $194.59 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 14 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 V2312
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $109.70 | $194.59 | $146.27 | $109.70 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $182.02 | — |
| AL | — | $117.34 | — |
| AR | — | $123.93 | — |
| AZ | — | $146.27 | — |
| CA | — | $146.27 | — |
| CO | — | $109.70 | — |
| CT | — | $146.27 | — |
| DC | — | $123.41 | — |
| DE | — | $123.41 | — |
| FL | — | $117.34 | — |
| GA | — | $117.34 | — |
| HI | — | $194.59 | — |
| IA | — | $109.70 | — |
| ID | — | $112.33 | — |
| IL | — | $117.92 | — |
| IN | — | $117.92 | — |
| KS | — | $109.70 | — |
| KY | — | $117.34 | — |
| LA | — | $123.93 | — |
| MA | — | $146.27 | — |
| MD | — | $123.41 | — |
| ME | — | $146.27 | — |
| MI | — | $117.92 | — |
| MN | — | $117.92 | — |
| MO | — | $109.70 | — |
| MS | — | $117.34 | — |
| MT | — | $109.70 | — |
| NC | — | $117.34 | — |
| ND | — | $109.70 | — |
| NE | — | $109.70 | — |
| NH | — | $146.27 | — |
| NJ | — | $110.18 | — |
| NM | — | $123.93 | — |
| NV | — | $146.27 | — |
| NY | — | $110.18 | — |
| OH | — | $117.92 | — |
| OK | — | $123.93 | — |
| OR | — | $112.33 | — |
| PA | — | $123.41 | — |
| PR | — | $118.08 | — |
| RI | — | $146.27 | — |
| SC | — | $117.34 | — |
| SD | — | $109.70 | — |
| TN | — | $117.34 | — |
| TX | — | $123.93 | — |
| UT | — | $109.70 | — |
| VA | — | $123.41 | — |
| VI | — | $110.18 | — |
| VT | — | $146.27 | — |
| WA | — | $112.33 | — |
| WI | — | $117.92 | — |
| WV | — | $123.41 | — |
| WY | — | $109.70 | — |
How the V2312 fee compares
| Measure | Value |
|---|---|
| Rank among 20 V23 codes (lowest = 1) | 14 |
| 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 V2312
- 2026-01-01: Average state fee rose 2.0%: $121.76 to $124.19
- 1985-01-01: V2312 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 V2312?
V2312 is the HCPCS Level II code for spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens. Short descriptor: "Lens sphc trifo 7.25-12/2.25".
How much does Medicare pay for V2312?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $109.70–$194.59. Rural fees can be higher.
Does Medicare cover V2312?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for V2312 change in 2026?
The average non-rural state fee moved from $121.76 in 2025 to $124.19 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2312 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)
- V2301 — Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ($94.18–$123.97)
- 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)
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Next steps
- Run a reimbursement report for a device billed under V2312
- Watch V2312 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2312
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.