V2786 HCPCS code: Specialty occupational multifocal lens, per lens
V2786 is the HCPCS Level II code for specialty occupational multifocal lens, per lens. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
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 |
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 V2786
- 2004-01-01: V2786 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 V2786?
V2786 is the HCPCS Level II code for specialty occupational multifocal lens, per lens. Short descriptor: "Occupational multifocal lens".
Does Medicare cover V2786?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for V2786?
Medicare policy articles that cite V2786 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.
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 V2786
- Watch V2786 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2786
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.