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See a sample rate comparisonHCPCS V2623 Fee Schedule
Last Verified: September 2026
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.
Prosthetic eye, plastic, custom
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Eye Prosthetics and Services |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for V2623 |
National average reimbursement for HCPCS V2623 by major payers:
$1,130.05
$650.44
$958.51
$915.24
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HCPCS V2623
5 of 25 sample ratesHigher to lower in this preview
L & B Laboratories, Inc.
$851.03Published rateThe Dme Boutique LLC, Hope Mastectomy Boutique
The Dme Boutique LLC
$639.34Published rateAmerican Ortho-Tech Laboratories Inc., Restore Poc
$488.04Published rateOrthocare Orthotics And Prosthetics Inc
$431.92Published rateM & M Rehab., Inc., Mid-Florida Prosthetics & Orthotics
M M Rehab Inc
$363.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS 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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