V2626 Reduction of eye prosthesis
Also known as: prosthesis reduction, size modification, artificial eye service
Reduction procedure of existing eye prosthesis to accommodate socket size changes. Service to modify prosthesis dimensions downward.
In Plain Language
reducing artificial eye size
Clinical Context
Used when socket resorption or other changes require reduced prosthesis dimensions.
RVU Information
CPT V2626 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
Frequently Asked Questions
What is CPT code V2626?
CPT V2626 (Reduction of eye prosthesis) is a V Codes (Vision) code. Reduction procedure of existing eye prosthesis to accommodate socket size changes. Service to modify prosthesis dimensions downward.
Does Medicare cover V2626?
Medicare coverage for V2626 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used when socket resorption or other changes require reduced prosthesis dimensions. A physician order is typically required.
When is CPT V2626 used?
Used when socket resorption or other changes require reduced prosthesis dimensions.
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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.