V2629 HCPCS code: Prosthetic eye, other type
V2629 is the HCPCS Level II code for prosthetic eye, other type. In 2024 Medicare paid an average of $830.75 per service for V2629 across 187 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume rose 282% from 2022 to 2024 (49 to 187 services). In 2024, 4 suppliers billed Medicare for V2629 (purchases), serving 158 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | V codes — Vision, hearing and speech-language pathology services |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1985-01-01 |
| Last action effective | 2003-10-01 |
Who bills V2629 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 4 |
| Referring clinicians | 122 |
| Medicare beneficiaries | 158 |
| States with claims | 2 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 3 | 46 |
| 2023 | 3 | 60 |
| 2024 | 4 | 158 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for V2629, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 49 | 46 | $1,858.44 | $1,465.61 |
| 2023 | 66 | 60 | $1,402.72 | $1,099.73 |
| 2024 | 187 | 158 | $1,061.46 | $830.75 |
States with the most V2629 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 161 | $876.89 |
| Nevada | 14 | $516.71 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
Medicare policy articles for this code
- A52463: Facial Prostheses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for V2629
- 1985-01-01: V2629 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code V2629?
V2629 is the HCPCS Level II code for prosthetic eye, other type. Short descriptor: "Prosthetic eye other type".
How much does Medicare pay for V2629?
In 2024, the average Medicare payment was $830.75 per service (average allowed $1,061.46).
Does Medicare cover V2629?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of V2629 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related V26 codes
- V2600 — Hand held low vision aids and other nonspectacle mounted aids
- V2610 — Single lens spectacle mounted low vision aids
- V2615 — Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system
- V2623 — Prosthetic eye, plastic, custom ($904.18–$1,984.14)
- V2624 — Polishing/resurfacing of ocular prosthesis ($44.45–$99.38)
- V2625 — Enlargement of ocular prosthesis ($370.98–$604.16)
- V2626 — Reduction of ocular prosthesis ($222.15–$357.61)
- V2627 — Scleral cover shell ($1,258.82–$2,103.31)
- V2628 — Fabrication and fitting of ocular conformer ($351.50–$962.64)
- V2630 — Anterior chamber intraocular lens ($145.73–$145.73)
- V2631 — Iris supported intraocular lens ($145.73–$145.73)
- V2632 — Posterior chamber intraocular lens ($145.73–$145.73)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under V2629
- Watch V2629 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for V2629
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.