V2715 — Prism, per lens
V2715 is a HCPCS Level II code for prism, per lens. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 V2715 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
- 4 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 4 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
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 V2715
- Long descriptor
- Prism, per lens
- Short descriptor
- Prism lens/es
- Added
- January 1, 1985
- 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 V2715
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2715 is not quite right, the correct code is very often within a few positions of it.
- V2628Fabrication and fitting of ocular conformer
- V2629Prosthetic eye, other type
- V2630Anterior chamber intraocular lens
- V2631Iris supported intraocular lens
- V2632Posterior chamber intraocular lens
- V2700Balance lens, per lens
- V2702Deluxe lens feature
- V2710Slab off prism, glass or plastic, per lens
- V2718Press-on lens, fresnell prism, per lens
- V2730Special base curve, glass or plastic, per lens
- V2744Tint, photochromatic, per lens
- V2745Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens
- V2750Anti-reflective coating, per lens
- V2755U-v lens, per lens
- V2756Eye glass case
- V2760Scratch resistant coating, per lens
Questions about V2715
What is HCPCS code V2715?
V2715 is a HCPCS Level II code for prism, per lens. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2715?
The CMS HCPCS file marks V2715 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is V2715 paid under the physician fee schedule?
V2715 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.