HCPCS V2623 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Vision Services • Eye Prosthetics and Services |
| Complexity Level | High |
National average reimbursement for HCPCS V2623 by major payers:
$1,130.05
$650.44
$958.51
$915.24
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS V2623 | ||||||
United | V2623 | $455.54 | 1598805962 - SUPERIOR MEDICAL EQUIPMENT PLUS LLC, SUPERIOR PROSTHETICS & ORTHOTICS | 743188958 - (FL) SUPERIOR MEDICAL EQUIPMENT PLUS LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $537.48 | 1891354007 - GULF COAST PAIN CONSULTANTS LLC, CLEARWAY PAIN SOLUTIONS INSTITUTE | 462054352 - GULF COAST PAIN CONSULTANTS LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $363.98 | 1144222464 - M & M REHAB INC, MID-FLORIDA PROSTHETICS & ORTHOTICS | 593575573 - (FL) M M REHAB INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $808.84 | 1609858752 - CUSTOM MOBILITY INC | 592924116 - (FL) CUSTOM MOBILITY INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $488.04 | 1093859050 - FLORIDA O&P SERVICES INC | 593473158 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $488.04 | 1215951983 - AMERICAN ORTHO-TECH LABORATORIES INC., RESTORE POC | 592132244 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $525.75 | 1265638977 - ORTHOSTAT, CORP. | 260302728 - (FL) ORTHOSTAT CORP | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $538.36 | 1730364530 - TEAM POST-OP | 261588969 - (FL) TEAM POSTOP | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $511.48 | 1174639694 - M. QUIRANTES ORTHOPEDIC APPLIANCES, INC. | 591886175 - (FL) M QUIRANTES ORTHOPEDIC APPLIANCES INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $808.84 | 1609858752 - CUSTOM MOBILITY INC | 592924116 - (FL) CUSTOM MOBILITY INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $364.35 | 1831126275 - FLORIDA BRACE & LIMB, INC. | 593330956 - FLORIDA BRACE LIMB INC | FL | Prosthetist (224P00000X) |
United | V2623 | $363.98 | 1245394048 - A NEW STEP PROSTHETICS, LLC | 205231899 - (FL) A NEW STEP PROSTHETICS LLC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $526.28 | 1538176169 - WESTCOAST BRACE & LIMB | 592066601 - WESTCOAST BRACE & LIMB, INC. | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $844.21 | 1932325222 - EDARCH MEDICAL INC., MEDSTAR MEDICAL | 461322238 | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $488.04 | 1730365453 - THE SHOE LAB, INC | 421751004 - (FL) THE SHOE LAB INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS V2623 vs. Other Eye Prosthetics and Services Codes
The HCPCS V2623 code is part of the Vision Services services used for Eye Prosthetics and Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS V2623 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| V2615-HCPCS | Moderate | Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system |
| V2623-HCPCS | High | Prosthetic eye, plastic, custom |
| V2624-HCPCS | Low | Polishing/resurfacing of ocular prosthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2623. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2623 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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