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V2623 Plastic eye prosthesis custom

V Codes (Vision)

Also known as: eye prosthesis, artificial eye, ocular prosthetic

Custom-fabricated plastic ocular prosthesis replacing absent eye. Individually crafted to match remaining eye appearance and size.

In Plain Language

custom artificial eye replacement

Clinical Context

Prescribed for patients with anophthalmic eye requiring cosmetic and functional prosthetic replacement.

RVU Information

CPT V2623 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

V-codes cover vision services, supplies, and equipment including lenses, frames, and hearing aids. A valid prescription from an authorized provider is required. Document the specific product dispensed, measurements, and clinical indication.

Specialties

ProstheticsOphthalmologyOcular Prosthetics

Frequently Asked Questions

What is CPT code V2623?

CPT V2623 (Plastic eye prosthesis custom) is a V Codes (Vision) code. Custom-fabricated plastic ocular prosthesis replacing absent eye. Individually crafted to match remaining eye appearance and size.

Does Medicare cover V2623?

Medicare coverage for V2623 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Prescribed for patients with anophthalmic eye requiring cosmetic and functional prosthetic replacement. A physician order is typically required.

When is CPT V2623 used?

Prescribed for patients with anophthalmic eye requiring cosmetic and functional prosthetic replacement.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.