# HCPCS V2625: Enlargement of ocular prosthesis

Medicare HCPCS V2625 pays $517.10 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $370.98 in Puerto Rico to $604.16 in Idaho, a 63% spread.

Web page: https://www.med-reveal.com/rates/V2625-hcpcs-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $517.10 |
| National facility | $517.10 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Idaho | $604.16 | $604.16 |
| Iowa | $604.16 | $604.16 |
| Kansas | $604.16 | $604.16 |
| Missouri | $604.16 | $604.16 |
| Nebraska | $604.16 | $604.16 |
| Oregon | $604.16 | $604.16 |
| Washington | $604.16 | $604.16 |
| Colorado | $597.47 | $597.47 |
| Montana | $597.47 | $597.47 |
| North Dakota | $597.47 | $597.47 |
| South Dakota | $597.47 | $597.47 |
| Utah | $597.47 | $597.47 |
| Wyoming | $597.47 | $597.47 |
| Illinois | $590.24 | $590.24 |
| Indiana | $590.24 | $590.24 |
| Michigan | $590.24 | $590.24 |
| Minnesota | $590.24 | $590.24 |
| Ohio | $590.24 | $590.24 |
| Wisconsin | $590.24 | $590.24 |
| Hawaii | $562.04 | $562.04 |
| Arizona | $528.40 | $528.40 |
| California | $528.40 | $528.40 |
| Nevada | $528.40 | $528.40 |
| Alaska | $525.62 | $525.62 |
| Alabama | $482.76 | $482.76 |
| Florida | $482.76 | $482.76 |
| Georgia | $482.76 | $482.76 |
| Kentucky | $482.76 | $482.76 |
| Mississippi | $482.76 | $482.76 |
| North Carolina | $482.76 | $482.76 |
| South Carolina | $482.76 | $482.76 |
| Tennessee | $482.76 | $482.76 |
| Arkansas | $469.62 | $469.62 |
| Louisiana | $469.62 | $469.62 |
| New Mexico | $469.62 | $469.62 |
| Oklahoma | $469.62 | $469.62 |
| Texas | $469.62 | $469.62 |
| Connecticut | $453.12 | $453.12 |
| Delaware | $453.12 | $453.12 |
| District of Columbia | $453.12 | $453.12 |
| Maine | $453.12 | $453.12 |
| Maryland | $453.12 | $453.12 |
| Massachusetts | $453.12 | $453.12 |
| New Hampshire | $453.12 | $453.12 |
| New Jersey | $453.12 | $453.12 |
| New York | $453.12 | $453.12 |
| Pennsylvania | $453.12 | $453.12 |
| Rhode Island | $453.12 | $453.12 |
| Vermont | $453.12 | $453.12 |
| Virgin Islands | $453.12 | $453.12 |
| Virginia | $453.12 | $453.12 |
| West Virginia | $453.12 | $453.12 |
| Puerto Rico | $370.98 | $370.98 |

## Related codes

- 92340: Fitting of spectacles, except aphakia, monofocal — https://www.med-reveal.com/rates/92340-cpt-fee-schedule
- 92341: Fitting of spectacles, except aphakia, multifocal, other than bifocal — https://www.med-reveal.com/rates/92341-cpt-fee-schedule
- 92352: Fitting of spectacle prosthesis for aphakia, monofocal — https://www.med-reveal.com/rates/92352-cpt-fee-schedule
- V2623: Prosthetic eye, plastic, custom — https://www.med-reveal.com/rates/V2623-hcpcs-fee-schedule
- V2624: Polishing/resurfacing of ocular prosthesis — https://www.med-reveal.com/rates/V2624-hcpcs-fee-schedule
- V2626: Reduction of ocular prosthesis — https://www.med-reveal.com/rates/V2626-hcpcs-fee-schedule
- V2627: Scleral cover shell — https://www.med-reveal.com/rates/V2627-hcpcs-fee-schedule
- V2629: Prosthetic eye, other type — https://www.med-reveal.com/rates/V2629-hcpcs-fee-schedule

Commercial negotiated rates for V2625 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules