Key facts for V2785
- Medicare payment
- no PFS amount
- PFS status X
- Coverage code
- C
- carrier judgment, so the Medicare contractor decides coverage
- Practitioner MUE
- 2
- MAI 2
- NCCI PTP pairs
- 0
- practitioner file
- LCDs and articles
- 0 / 0
TL;DR
CMS describes HCPCS V2785, added in 1990, as "Processing, preserving and transporting corneal tissue". The physician fee schedule lists V2785 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. MUE limits for V2785: practitioner 2 (MAI 2, Anatomic Consideration); hospital outpatient 2 (MAI 2, Anatomic Consideration); DME supplier 0 (MAI 3, CMS Policy). No current LCD or billing article lists V2785; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). OPPS status indicator F: Corneal Tissue Acquisition; Certain CRNA Services. HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 46; type of service Q (vision items or services). Nearby codes: V2784, V2783, V2782, V2780.
V2785 descriptor and code status
The October 2026 HCPCS Level II file describes V2785 as “Processing, preserving and transporting corneal tissue”. It sits in the V section (vision, hearing and speech-language pathology services), listed with the other V codes.
| Field | Value |
|---|---|
| Short descriptor | Corneal tissue processing |
| Added to HCPCS | 1990-01-01 |
| Last action | N (no maintenance), effective 2003-10-01 |
| Coverage code | C: carrier judgment, so the Medicare contractor decides coverage |
| Pricing indicator | 46: DMEPOS contractor-priced (not otherwise classified, individual determination or gap-filled) |
| BETOS category | D1F: prosthetic/orthotic devices |
| Type of service | Q: vision items or services |
Medicare payment for V2785
The physician fee schedule lists V2785 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. 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 F (Corneal Tissue Acquisition; Certain CRNA Services), with no separate OPPS payment rate.
Ambulatory surgical center (Addendum BB)
Payment indicator F4 (Corneal tissue acquisition, hepatitis B vaccine; paid at reasonable cost).
Medically Unlikely Edits for V2785
MUE limits for V2785: practitioner 2 (MAI 2, Anatomic Consideration); hospital outpatient 2 (MAI 2, Anatomic Consideration); DME supplier 0 (MAI 3, CMS Policy). The practitioner MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.
| Setting | MUE (units/DOS) | MAI | CMS rationale |
|---|---|---|---|
| Practitioner services | 2 | 2 Date of Service Edit: Policy | Anatomic Consideration |
| Facility outpatient hospital | 2 | 2 Date of Service Edit: Policy | Anatomic Consideration |
| DME supplier | 0 | 3 Date of Service Edit: Clinical | CMS Policy |
The MUE lookup for V2785 shows every setting next to any other code on the same claim.
NCCI edits and add-on rules
No active practitioner PTP pair lists V2785 in v323r0.
V2785 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 V2785 against a second code to see whether the pair bundles and whether a modifier can separate the services.
Medicare coverage policies for V2785
No current LCD or billing and coding article lists V2785. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.
Denials to expect on V2785
the modifier reported is inconsistent with the code
the claim lacks the description, invoice or pricing detail a contractor-priced code needs
Where QuickIntell fits for V2785 claims
QuickCode supports qualified coder review of units, modifiers and NCCI pairs for V2785 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.
Frequently asked questions: HCPCS V2785
What does HCPCS code V2785 describe?
"Processing, preserving and transporting corneal tissue" (short descriptor "Corneal tissue processing"), in the V section (vision, hearing and speech-language pathology services). Added 1990-01-01; last action N (no maintenance) effective 2003-10-01.
Is V2785 a CPT code?
No: CMS maintains V2785 in HCPCS Level II, while the AMA maintains CPT. People do search "V2785 CPT code", and it goes in the same procedure-code field.
What does Medicare pay for V2785?
The physician fee schedule lists V2785 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it.
How many units of V2785 can be billed per day?
MUE limits for V2785: practitioner 2 (MAI 2, Anatomic Consideration); hospital outpatient 2 (MAI 2, Anatomic Consideration); DME supplier 0 (MAI 3, CMS Policy). For the practitioner MUE (MAI 2), units above 2 deny for the whole day as a policy limit; denials arrive as CARC 151.
Does Medicare cover V2785?
No current LCD or billing article lists V2785; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).
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.
- HCPCS Level II alpha-numeric file, October 2026Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
- Medicare PFS national relative value file RVU26D (non-QPP), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
- Medicare PFS national relative value file RVU26D (qualifying APM participants), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_QPP.csvSHA-256 59d3734704853936…
- OPPS Addendum B, October 2026Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…
- Integrated Outpatient Code Editor v27.3 data tables: status and payment indicatorsVersion I/OCE v27.3 (October 2026) · effective 2026-10-01 · file Data_Status_Indicator.txtSHA-256 78f119ef0a435351…
- ASC Addendum BB (covered ancillary services), October 2026Version October 2026 · effective 2026-10-01 · file Oct 2026 ASC BB.txtSHA-256 63cdd7c72aba7a25…
- NCCI MUE table, practitioner services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_PractitionerServices_Eff_10-01-2026.csvSHA-256 ef038efaf902b7bd…
- NCCI MUE table, facility services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_OutpatientHospitalServices_Eff_10-01-2026.csvSHA-256 3af9f4e99cc587e2…
- NCCI MUE table, dme services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_DMESupplierServices_Eff_10-01-2026.csvSHA-256 6fa4fbba852f7b74…
- NCCI PTP edits, practitioner, v323r0 (four files)Version v323r0 (2026 Q4) · effective 2026-10-01 · file ccipra-v323r0-f1.TXTSHA-256 7793c0b6686c1e22…
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.