HCPCS C2622: Prosthesis, Penile, Non-Inflatable
HCPCS Level II code C2622 denotes a non-inflatable penile prosthesis used in surgical management of erectile dysfunction. This durable implant is a distinct category of penile prosthesis that does not include inflatable components; reimbursement and coverage policies for prosthetic devices have implications for access to sexual health interventions and surgical urology services nationwide. The code matters because payers and facilities use it to classify device billing separately from surgical procedure codes, affecting claims processing and device reporting.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of what the code represents, common clinical contexts for use, and the typical sites of service for implantation. The publication summarizes typical modifier use and payer considerations when available, and describes how this code interacts with surgical service lines and facility billing. It also identifies gaps where data was not provided and indicates where further payer-specific policy details would be needed for coding and coverage determinations.
This national summary is intended for coding managers, billing teams, policy analysts, and clinicians seeking a concise reference to the clinical role and billing classification of HCPCS Level II code C2622.
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Billing Code Overview
HCPCS Level II code C2622 represents a prosthesis, penile, non-inflatable. This device is a surgically implanted, non-inflatable penile prosthesis used to treat erectile dysfunction when other treatments are ineffective or unsuitable. The service type associated with this code is the provision and implantation of a non-inflatable penile prosthesis. The typical site of service is an inpatient or outpatient surgical setting, including hospital operating rooms or ambulatory surgical centers, where urologic implant procedures are performed.
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