V2783 HCPCS code: Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens
V2783 is the HCPCS Level II code for lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens. The 2026 Medicare DMEPOS fee schedule pays $87.21 to $95.98 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume fell 67% from 2023 to 2024 (79 to 26 services). In 2024, 12 suppliers billed Medicare for V2783 (purchases), serving 14 beneficiaries. Its average fee ranks 15 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 | D — Special coverage instructions apply |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2004-01-01 |
| Last action effective | 2004-01-01 |
2026 Medicare DMEPOS fee schedule for V2783
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $87.21 | $95.98 | $106.44 | $79.83 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $87.21 | — |
| AL | — | $89.85 | — |
| AR | — | $89.83 | — |
| AZ | — | $87.21 | — |
| CA | — | $87.21 | — |
| CO | — | $90.37 | — |
| CT | — | $87.21 | — |
| DC | — | $87.21 | — |
| DE | — | $87.21 | — |
| FL | — | $89.85 | — |
| GA | — | $89.85 | — |
| HI | — | $87.21 | — |
| IA | — | $88.89 | — |
| ID | — | $87.21 | — |
| IL | — | $89.39 | — |
| IN | — | $89.39 | — |
| KS | — | $88.89 | — |
| KY | — | $89.85 | — |
| LA | — | $89.83 | — |
| MA | — | $87.21 | — |
| MD | — | $87.21 | — |
| ME | — | $87.21 | — |
| MI | — | $89.39 | — |
| MN | — | $89.39 | — |
| MO | — | $88.89 | — |
| MS | — | $89.85 | — |
| MT | — | $90.37 | — |
| NC | — | $89.85 | — |
| ND | — | $90.37 | — |
| NE | — | $88.89 | — |
| NH | — | $87.21 | — |
| NJ | — | $87.21 | — |
| NM | — | $89.83 | — |
| NV | — | $87.21 | — |
| NY | — | $87.21 | — |
| OH | — | $89.39 | — |
| OK | — | $89.83 | — |
| OR | — | $87.21 | — |
| PA | — | $87.21 | — |
| PR | — | $95.98 | — |
| RI | — | $87.21 | — |
| SC | — | $89.85 | — |
| SD | — | $90.37 | — |
| TN | — | $89.85 | — |
| TX | — | $89.83 | — |
| UT | — | $90.37 | — |
| VA | — | $87.21 | — |
| VI | — | $95.98 | — |
| VT | — | $87.21 | — |
| WA | — | $87.21 | — |
| WI | — | $89.39 | — |
| WV | — | $87.21 | — |
| WY | — | $90.37 | — |
How the V2783 fee compares
| Measure | Value |
|---|---|
| Rank among 16 V27 codes (lowest = 1) | 15 |
| Family fee range (average of state fees) | $14.12–$91.34 |
| Rural fee uplift | — |
Who bills V2783 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 12 |
| Referring clinicians | 15 |
| Medicare beneficiaries | 14 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2023 | 30 | 41 |
| 2024 | 12 | 14 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for V2783, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 79 | 41 | $65.20 | $51.11 |
| 2024 | 26 | 14 | $72.42 | $55.99 |
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 V2783
- 2026-01-01: Average state fee rose 2.0%: $87.18 to $88.92
- 2004-01-01: V2783 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 V2783?
V2783 is the HCPCS Level II code for lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens. Short descriptor: "Lens, >= 1.66 p/>=1.80 g".
How much does Medicare pay for V2783?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $87.21–$95.98. Rural fees can be higher.
Does Medicare cover V2783?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for V2783?
Medicare policy articles that cite V2783 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 V2783 change in 2026?
The average non-rural state fee moved from $87.18 in 2025 to $88.92 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of V2783 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V27 codes
- V2700 — Balance lens, per lens ($53.63–$99.58)
- 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)
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Next steps
- Run a reimbursement report for a device billed under V2783
- Watch V2783 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2783
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.