V2512 HCPCS code: Contact lens, gas permeable, bifocal, per lens
V2512 is the HCPCS Level II code for contact lens, gas permeable, bifocal, per lens. The 2026 Medicare DMEPOS fee schedule pays $230.62 to $434.08 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 13 of 15 V25 codes (family range $118.70–$668.43).
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 V2512
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $230.62 | $434.08 | $307.49 | $230.62 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $289.90 | — |
| AL | — | $230.62 | — |
| AR | — | $307.49 | — |
| AZ | — | $271.53 | — |
| CA | — | $271.53 | — |
| CO | — | $230.62 | — |
| CT | — | $272.68 | — |
| DC | — | $286.17 | — |
| DE | — | $286.17 | — |
| FL | — | $230.62 | — |
| GA | — | $230.62 | — |
| HI | — | $309.92 | — |
| IA | — | $282.10 | — |
| ID | — | $230.62 | — |
| IL | — | $256.25 | — |
| IN | — | $256.25 | — |
| KS | — | $282.10 | — |
| KY | — | $230.62 | — |
| LA | — | $307.49 | — |
| MA | — | $272.68 | — |
| MD | — | $286.17 | — |
| ME | — | $272.68 | — |
| MI | — | $256.25 | — |
| MN | — | $256.25 | — |
| MO | — | $282.10 | — |
| MS | — | $230.62 | — |
| MT | — | $230.62 | — |
| NC | — | $230.62 | — |
| ND | — | $230.62 | — |
| NE | — | $282.10 | — |
| NH | — | $272.68 | — |
| NJ | — | $307.49 | — |
| NM | — | $307.49 | — |
| NV | — | $271.53 | — |
| NY | — | $307.49 | — |
| OH | — | $256.25 | — |
| OK | — | $307.49 | — |
| OR | — | $230.62 | — |
| PA | — | $286.17 | — |
| PR | — | $434.08 | — |
| RI | — | $272.68 | — |
| SC | — | $230.62 | — |
| SD | — | $230.62 | — |
| TN | — | $230.62 | — |
| TX | — | $307.49 | — |
| UT | — | $230.62 | — |
| VA | — | $286.17 | — |
| VI | — | $307.49 | — |
| VT | — | $272.68 | — |
| WA | — | $230.62 | — |
| WI | — | $256.25 | — |
| WV | — | $286.17 | — |
| WY | — | $230.62 | — |
How the V2512 fee compares
| Measure | Value |
|---|---|
| Rank among 15 V25 codes (lowest = 1) | 13 |
| Family fee range (average of state fees) | $118.70–$668.43 |
| 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 V2512
- 2026-01-01: Average state fee rose 2.0%: $263.56 to $268.83
- 1985-01-01: V2512 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 V2512?
V2512 is the HCPCS Level II code for contact lens, gas permeable, bifocal, per lens. Short descriptor: "Cntct lens gas permbl bifocl".
How much does Medicare pay for V2512?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $230.62–$434.08. Rural fees can be higher.
Does Medicare cover V2512?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for V2512 change in 2026?
The average non-rural state fee moved from $263.56 in 2025 to $268.83 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2512 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V25 codes
- V2500 — Contact lens, pmma, spherical, per lens ($99.50–$387.16)
- V2501 — Contact lens, pmma, toric or prism ballast, per lens ($151.57–$435.59)
- V2502 — Contact lens, pmma, bifocal, per lens ($186.72–$434.08)
- V2503 — Contact lens, pmma, color vision deficiency, per lens ($171.97–$241.70)
- V2510 — Contact lens, gas permeable, spherical, per lens ($135.83–$387.16)
- V2511 — Contact lens, gas permeable, toric, prism ballast, per lens ($195.17–$434.08)
- V2513 — Contact lens, gas permeable, extended wear, per lens ($193.62–$387.16)
- V2520 — Contact lens, hydrophilic, spherical, per lens ($119.79–$387.16)
- V2521 — Contact lens, hydrophilic, toric, or prism ballast, per lens ($214.82–$435.59)
- V2522 — Contact lens, hydrophilic, bifocal, per lens ($216.33–$435.59)
- V2523 — Contact lens, hydrophilic, extended wear, per lens ($178.06–$388.84)
- V2524 — Contact lens, hydrophilic, spherical, photochromic additive, per lens ($135.23–$402.59)
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Next steps
- Run a reimbursement report for a device billed under V2512
- Watch V2512 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2512
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.