V2630 — Anterior chamber intraocular lens
V2630 is a HCPCS Level II code for anterior chamber intraocular lens. It belongs to the Vision, Hearing and Speech-Language Pathology section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of V2630 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- outpatient
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for V2630
- Long descriptor
- Anterior chamber intraocular lens
- Short descriptor
- Anter chamber intraocul lens
- Added
- January 1, 1985
- BETOS
- D1F
- Pricing indicator
- 56 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Intraocular lenses inserted in a physician's office, effective 1 October 2014.
Codes adjacent to V2630
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If V2630 is not quite right, the correct code is very often within a few positions of it.
- V2615Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system
- V2623Prosthetic eye, plastic, custom
- V2624Polishing/resurfacing of ocular prosthesis
- V2625Enlargement of ocular prosthesis
- V2626Reduction of ocular prosthesis
- V2627Scleral cover shell
- V2628Fabrication and fitting of ocular conformer
- V2629Prosthetic eye, other type
- V2631Iris supported intraocular lens
- V2632Posterior chamber intraocular lens
- V2700Balance lens, per lens
- V2702Deluxe lens feature
- V2710Slab off prism, glass or plastic, per lens
- V2715Prism, per lens
- V2718Press-on lens, fresnell prism, per lens
- V2730Special base curve, glass or plastic, per lens
Questions about V2630
What is HCPCS code V2630?
V2630 is a HCPCS Level II code for anterior chamber intraocular lens. It sits in the Vision, Hearing and Speech-Language Pathology section.
Does Medicare cover V2630?
The CMS HCPCS file marks V2630 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is V2630 paid under the physician fee schedule?
V2630 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.