V2700 HCPCS code: Balance lens, per lens
V2700 is the HCPCS Level II code for balance lens, per lens. The 2026 Medicare DMEPOS fee schedule pays $53.63 to $99.58 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 fell 44% from 2022 to 2024 (620 to 350 services). In 2024, 216 suppliers billed Medicare for V2700 (purchases), serving 347 beneficiaries; Missouri, Minnesota, Texas accounted for 39% of services. Its average fee ranks 12 of 16 V27 codes (family range $14.12–$91.34).
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 V2700
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $53.63 | $99.58 | $71.50 | $53.63 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $93.10 | — |
| AL | — | $53.63 | — |
| AR | — | $64.87 | — |
| AZ | — | $71.50 | — |
| CA | — | $71.50 | — |
| CO | — | $63.23 | — |
| CT | — | $56.20 | — |
| DC | — | $65.91 | — |
| DE | — | $65.91 | — |
| FL | — | $53.63 | — |
| GA | — | $53.63 | — |
| HI | — | $99.58 | — |
| IA | — | $56.92 | — |
| ID | — | $53.63 | — |
| IL | — | $54.90 | — |
| IN | — | $54.90 | — |
| KS | — | $56.92 | — |
| KY | — | $53.63 | — |
| LA | — | $64.87 | — |
| MA | — | $56.20 | — |
| MD | — | $65.91 | — |
| ME | — | $56.20 | — |
| MI | — | $54.90 | — |
| MN | — | $54.90 | — |
| MO | — | $56.92 | — |
| MS | — | $53.63 | — |
| MT | — | $63.23 | — |
| NC | — | $53.63 | — |
| ND | — | $63.23 | — |
| NE | — | $56.92 | — |
| NH | — | $56.20 | — |
| NJ | — | $61.80 | — |
| NM | — | $64.87 | — |
| NV | — | $71.50 | — |
| NY | — | $61.80 | — |
| OH | — | $54.90 | — |
| OK | — | $64.87 | — |
| OR | — | $53.63 | — |
| PA | — | $65.91 | — |
| PR | — | $58.16 | — |
| RI | — | $56.20 | — |
| SC | — | $53.63 | — |
| SD | — | $63.23 | — |
| TN | — | $53.63 | — |
| TX | — | $64.87 | — |
| UT | — | $63.23 | — |
| VA | — | $65.91 | — |
| VI | — | $61.80 | — |
| VT | — | $56.20 | — |
| WA | — | $53.63 | — |
| WI | — | $54.90 | — |
| WV | — | $65.91 | — |
| WY | — | $63.23 | — |
How the V2700 fee compares
| Measure | Value |
|---|---|
| Rank among 16 V27 codes (lowest = 1) | 12 |
| Family fee range (average of state fees) | $14.12–$91.34 |
| Rural fee uplift | — |
Who bills V2700 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 216 |
| Referring clinicians | 258 |
| Medicare beneficiaries | 347 |
| States with claims | 13 |
| Share of services in top 3 states (Missouri, Minnesota, Texas) | 39% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 348 | 613 |
| 2023 | 284 | 463 |
| 2024 | 216 | 347 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for V2700, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 620 | 613 | $40.77 | $30.83 |
| 2023 | 468 | 463 | $41.85 | $30.71 |
| 2024 | 350 | 347 | $44.61 | $33.99 |
States with the most V2700 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Missouri | 39 | $36.57 |
| Minnesota | 25 | $33.71 |
| Texas | 21 | $31.53 |
| Georgia | 16 | $35.54 |
| New Jersey | 15 | $44.74 |
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 V2700
- 2026-01-01: Average state fee rose 2.0%: $59.83 to $61.02
- 1985-01-01: V2700 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 V2700?
V2700 is the HCPCS Level II code for balance lens, per lens. Short descriptor: "Balance lens".
How much does Medicare pay for V2700?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $53.63–$99.58. Rural fees can be higher.
Does Medicare cover V2700?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for V2700?
Medicare policy articles that cite V2700 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 V2700 change in 2026?
The average non-rural state fee moved from $59.83 in 2025 to $61.02 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2700 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V27 codes
- V2702 — Deluxe lens feature
- V2710 — Slab off prism, glass or plastic, per lens ($78.50–$154.85)
- V2715 — Prism, per lens ($14.23–$97.78)
- V2718 — Press-on lens, fresnell prism, per lens ($34.95–$96.72)
- V2730 — Special base curve, glass or plastic, per lens ($7.60–$37.36)
- V2744 — Tint, photochromatic, per lens ($15.43–$26.78)
- V2745 — Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ($12.57–$16.76)
- V2750 — Anti-reflective coating, per lens ($23.37–$48.05)
- V2755 — U-v lens, per lens ($14.47–$27.11)
- V2756 — Eye glass case
- V2760 — Scratch resistant coating, per lens ($10.06–$36.57)
- V2761 — Mirror coating, any type, solid, gradient or equal, any lens material, per lens
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 V2700
- Watch V2700 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2700
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.