HCPCS V2627 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 V2627 by major payers:
$1,694.39
$927.01
$1,336.84
$1,363.16
| 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 V2627 | ||||||
United | V2627 | $696.65 | 1487794848 - BARR PROSTHETICS & ORTHOTICS, PA, CLEARWATER PROSTHETICS & ORTHOTICS | 710932032 - (FL) BARR PROSTHETICS ORTHOTICS PA | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2627 | $857.61 | 1023557204 - FLORIDA FOOT & ANKLE GROUP PA | 593183245 - (FL) FLORIDA FOOT ANKLE GROUP PA | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $738.21 | 1053477687 - KENNEDY WHITE & RIGGS ORTHOPEDIC ASSOCIATES, KENNEDY-WHITE ORTHOPAEDIC CENTER | 592227075 - (FL) KENNEDY WHITE ORTHOPAEDIC CENTER | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $754.70 | 1265638977 - ORTHOSTAT, CORP. | 260302728 - (FL) ORTHOSTAT CORP | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $821.82 | 1619063526 - LAKELAND FAMILY PODIATRY | 274414210 - (FL) LAKELAND FAMILY PODIATRY | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $738.21 | 1184892630 - DR.ROBERT TEITELBAUM, NAPLES PODIATRY CENTER | 592338973 - (FL) DRROBERT TEITELBAUM | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $857.61 | 1710161237 - JOHN E BAKER DPM PA, FOOT AND ANKLE CARE CENTER | 650633127 - (FL) JOHN E BAKER DPM PA | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $1019.57 | 1386755163 - MATRIX MEDICAL LLC | 201606430 - (FL) MATRIX MEDICAL LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $951.15 | 1649278508 - HOLMES REGIONAL ENTERPRISES, INC., HEALTH FIRST MEDICAL EQUIPMENT | 592109953 - (FL) HOLMES REGIONAL ENTERPRISES INC | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2627 | $1158.31 | 1891027918 - LINCARE INC. | 592852900 - LINCARE INC. | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2627 | $1210.73 | 1164402855 - ROTECH OXYGEN AND MEDICAL EQUIPMENT INC, PATIENTS CHOICE MEDICAL SERVICES | 591450889 | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $523.01 | 1023122132 - ELEANOR'S BRAS & BREAST FORMS, INC. | 593624368 - (FL) ELEANORS BRAS BREAST FORMS INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $638.59 | 1609004134 - NEWAIR HOME CARE, INC, NEWAIR HOMECARE | 20628522 - (FL) NEWAIR HOMECARE INC | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2627 | $821.82 | 1619063526 - LAKELAND FAMILY PODIATRY | 274414210 - (FL) LAKELAND FAMILY PODIATRY | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2627 | $896.76 | 1932325222 - EDARCH MEDICAL INC., MEDSTAR MEDICAL | 461322238 | 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 V2627 vs. Other Eye Prosthetics and Services Codes
The HCPCS V2627 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 V2627 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 |
|---|---|---|
| V2626-HCPCS | Moderate | Reduction of ocular prosthesis |
| V2627-HCPCS | High | Scleral cover shell |
| V2628-HCPCS | Moderate | Fabrication and fitting of ocular conformer |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2627. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2627 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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