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V2627 Scleral cover shell

V Codes (Vision)

Also known as: scleral shell, cover shell, ocular conformer

Scleral cover shell or conformer designed to protect anophthalmic socket and maintain shape. Transparent device allowing light perception.

In Plain Language

protective shell for eye socket

Clinical Context

Used for anophthalmic patients or those unable to wear full prosthesis, providing socket protection and maintenance.

RVU Information

CPT V2627 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

ProstheticsOcular Prosthetics

Frequently Asked Questions

What is CPT code V2627?

CPT V2627 (Scleral cover shell) is a V Codes (Vision) code. Scleral cover shell or conformer designed to protect anophthalmic socket and maintain shape. Transparent device allowing light perception.

Does Medicare cover V2627?

Medicare coverage for V2627 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for anophthalmic patients or those unable to wear full prosthesis, providing socket protection and maintenance. A physician order is typically required.

When is CPT V2627 used?

Used for anophthalmic patients or those unable to wear full prosthesis, providing socket protection and maintenance.

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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.