V2221 — Lenticular lens, per lens, bifocal
V2221 is a HCPCS Level II code for lenticular lens, per lens, bifocal. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V2221 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
- DME supplier
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for V2221
- Long descriptor
- Lenticular lens, per lens, bifocal
- Short descriptor
- Lenticular lens, bifocal
- Added
- January 1, 2004
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to V2221
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2221 is not quite right, the correct code is very often within a few positions of it.
- V2211Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
- V2212Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens
- V2213Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
- V2214Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens
- V2215Lenticular (myodisc), per lens, bifocal
- V2218Aniseikonic, per lens, bifocal
- V2219Bifocal seg width over 28 mm
- V2220Bifocal add over 3.25d
- V2299Specialty bifocal (by report)
- V2300Sphere, trifocal, plano to plus or minus 4.00d, per lens
- V2301Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
- V2302Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens
- V2303Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens
- V2304Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens
- V2305Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens
- V2306Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens
Questions about V2221
What is HCPCS code V2221?
V2221 is a HCPCS Level II code for lenticular lens, per lens, bifocal. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2221?
The CMS HCPCS file marks V2221 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is V2221 paid under the physician fee schedule?
V2221 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.