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HCPCS V2629 · Level II · V code

V2629: Prosthetic eye, other type, HCPCS Level II V code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for V2629

Medicare payment
no PFS amount
PFS status X; OPPS SI A: paid under another fee schedule or system
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
0
MAI 3
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
0
practitioner file
LCDs and articles
2 / 0

TL;DR

HCPCS Level II V2629 reads "Prosthetic eye, other type" in the October 2026 file; it dates from 1985. The physician fee schedule lists V2629 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays V2629 under a fee schedule or payment system other than OPPS. MUE limits for V2629: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 2, Anatomic Consideration); DME supplier 2 (MAI 2, Anatomic Consideration). 2 active LCDs list V2629: L33737 (Eye Prostheses), L33738 (Facial Prostheses). HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 46; type of service P (lump-sum purchase of DME, prosthetics or orthotics). 1 other active code opens with "Prosthetic eye"; related codes: V2623, V2628, V2630, V2627.

V2629 descriptor and code status

The October 2026 HCPCS Level II file describes V2629 as “Prosthetic eye, other type”. It sits in the V section (vision, hearing and speech-language pathology services), listed with the other V codes.

HCPCS file attributes of V2629
FieldValue
Short descriptorProsthetic eye other type
Added to HCPCS1985-01-01
Last actionN (no maintenance), effective 2003-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator46: DMEPOS contractor-priced (not otherwise classified, individual determination or gap-filled)
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics

Medicare payment for V2629

The physician fee schedule lists V2629 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays V2629 under a fee schedule or payment system other than OPPS. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for V2629

MUE limits for V2629: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 2, Anatomic Consideration); DME supplier 2 (MAI 2, Anatomic Consideration). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for V2629 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital22 Date of Service Edit: PolicyAnatomic Consideration
DME supplier22 Date of Service Edit: PolicyAnatomic Consideration

The MUE lookup for V2629 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists V2629 in v323r0.

V2629 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check V2629 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for V2629

2 active Local Coverage Determinations and 0 billing and coding articles list V2629. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

  • Eye Prostheses (L33737) · CGS Administrators, LLC; Noridian Healthcare Solutions, LLC
  • L33738 Facial Prostheses · CGS Administrators, LLC; Noridian Healthcare Solutions, LLC

Denials to expect on V2629

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists V2629

CARC 151 · N362

units of V2629 exceed the practitioner MUE of 0 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for V2629 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for V2629 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS V2629

What does HCPCS code V2629 describe?

"Prosthetic eye, other type" (short descriptor "Prosthetic eye other type"), in the V section (vision, hearing and speech-language pathology services). Added 1985-01-01; last action N (no maintenance) effective 2003-10-01.

Is V2629 a CPT code?

No: CMS maintains V2629 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for V2629?

The physician fee schedule lists V2629 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays V2629 under a fee schedule or payment system other than OPPS.

How many units of V2629 can be billed per day?

MUE limits for V2629: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 2, Anatomic Consideration); DME supplier 2 (MAI 2, Anatomic Consideration). For the practitioner MUE (MAI 3), units above 0 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover V2629?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 2 active LCDs list V2629: L33737 (Eye Prostheses), L33738 (Facial Prostheses).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.