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 | $488.04 | 1215951983 - AMERICAN ORTHO-TECH LABORATORIES INC., RESTORE POC | 592132244 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $414.13 | 1518594704 - PERFORMANCE PROSTHETICS & ORTHOTICS, PL | 272452671 - PERFORMANCE PROSTHETICS & ORTHOTICS P.L. | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $538.36 | 1730364530 - TEAM POST-OP | 261588969 - (FL) TEAM POSTOP | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $431.92 | 1407961618 - ORTHOCARE ORTHOTICS AND PROSTHETICS INC | 593724545 - (FL) ORTHOCARE ORTHOTICS AND PROSTHETICS INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $364.35 | 1982790275 - HOMETOWN MEDICAL EQUIPMENT & SUPPLIES, INC. | 201772938 - (FL) HOMETOWN MEDICAL EQUIPMENT SUPPLIES INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $364.35 | 1790026201 - PROSTHETIC DESIGN & RESEARCH LLC, MARTIN BIONICS CLINICAL CARE TAMPA | 462085554 - (FL) PROSTHETIC DESIGN RESEARCH LLC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $716.65 | 1386929347 - PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES | 42121377 - THE SHRINERS HOSPITAL FOR CHILDREN | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $363.98 | 1871747386 - M & M REHAB., INC., MID-FLORIDA PROSTHETICS & ORTHOTICS | 593575573 - (FL) M M REHAB INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $639.34 | 1457803066 - THE DME BOUTIQUE LLC, HOPE MASTECTOMY BOUTIQUE | 814178823 - (FL) THE DME BOUTIQUE LLC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
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 | $627.07 | 1275901191 - ORTHOTIC & PROSTHETIC CENTERS, INC., ORTHOTIC & PROSTHETIC CENTER OF MELBOURNE | 592139250 - ORTHOTIC PROSTHETIC CENTERS INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $724.59 | 1134173529 - QUANTUM MEDICAL SUPPLY, INC. | 582672225 - (FL) QUANTUM MEDICAL SUPPLY INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $751.34 | 1932325222 - EDARCH MEDICAL INC., MEDSTAR MEDICAL | 461322238 | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2623 | $485.30 | 1487794848 - BARR PROSTHETICS & ORTHOTICS, PA, CLEARWATER PROSTHETICS & ORTHOTICS | 710932032 - (FL) BARR PROSTHETICS ORTHOTICS PA | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2623 | $771.10 | 1437567278 - PULMONARY ASSOCIATES, INC. | 860220398 - PULMONARY ASSOCIATES, P.A. | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
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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