HCPCS V2628 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Vision Services • Eye Prosthetics and Services |
| Complexity Level | Moderate |
National average reimbursement for HCPCS V2628 by major payers:
$374.86
$214.47
$311.83
$299.98
| 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 V2628 | ||||||
United | V2628 | $170.69 | 1629192315 - MEDICAL DECISION LLC, MEDICAL DECISION SERVICES | 650933440 - (FL) MEDICAL DECISION LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $140.36 | 1558908020 - J.C. HOME CARE INC, JC HOME MEDICAL | 20682766 - (FL) J.C. HOME CARE, INC. | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $164.50 | 1306890876 - SOUTHERN RESPIRATORY, INC | 10631042 - (FL) SOUTHERN RESPIRATORY INC | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2628 | $164.50 | 1962400564 - BAYONET POINT OXYGEN SERVICES OF FLORIDA, INC. | 593662942 - (FL) BAYONET POINT OXYGEN SERVICES OF FLORIDA, INC. | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2628 | $123.48 | 1437295466 - BEAUTY PLUS WIGS HATS & LINGERIE, INC. | 203401809 - (FL) BEAUTY PLUS WIGS HATS LINGERIE INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $168.44 | 1104804830 - HEALTH MEDICAL EQUIPMENT, INC. | 650393005 - (FL) HEALTH MEDICAL EQUIPMENT INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $164.66 | 1639114788 - SOUTHWEST MOBILITY INC., SCOOTER MOBILITY CENTER | 593436933 | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $173.36 | 1003117466 - BAY QUALITY PROSTHETICS LLC, BAY PROSTHETIC CENTER | 272373813 - (FL) BAY QUALITY PROSTHETICS LLC | FL | Customized Equipment (DME) (332BC3200X) |
United | V2628 | $165.41 | 1215951983 - AMERICAN ORTHO-TECH LABORATORIES INC., RESTORE POC | 592132244 | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $170.69 | 1043248107 - TAJOSE LLC, HEART MED PHARMACY | 201515495 - (FL) TAJOSE LLC | FL | Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X) |
United | V2628 | $114.51 | 1609936921 - PREFERRED MEDICAL GROUP | 593718728 - (FL) PREFERRED MEDICAL GROUP | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | V2628 | $123.37 | 1396790804 - FLORIDA PROSTHETICS & ORTHOTICS, INC | 43758854 - (FL) FLORIDA PROSTHETICS ORTHOTICS INC | FL | Prosthetic/Orthotic Supplier (335E00000X) |
United | V2628 | $126.33 | 1568469823 - SOUTH FLORIDA MEDICAL CORP | 650625774 - (FL) SOUTH FLORIDA MEDICAL CORP | FL | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | V2628 | $205.61 | 1922088764 - WHEELCHAIRS PLUS INC | 592637419 - (FL) WHEELCHAIRS PLUS INC | FL | Customized Equipment (DME) (332BC3200X) |
United | V2628 | $123.48 | 1033462171 - ABOUT YOU | 383871509 - (FL) ABOUT YOU | 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 V2628 vs. Other Eye Prosthetics and Services Codes
The HCPCS V2628 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 V2628 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 |
|---|---|---|
| V2627-HCPCS | High | Scleral cover shell |
| V2628-HCPCS | Moderate | Fabrication and fitting of ocular conformer |
| V2629-HCPCS | Moderate | Prosthetic eye, other type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2628 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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