Clinical Context
A male patient with organic erectile dysfunction who has failed or is intolerant of oral, intracavernosal, or vacuum therapies presents for implantation of a non-inflatable (malleable) penile prosthesis. Typical patients are older men with neurogenic erectile dysfunction (for example, following radical pelvic surgery or spinal cord injury), severe vascular disease, or Peyronie disease with refractory erectile dysfunction. The clinical workflow begins with preoperative evaluation by a urologist including history, physical exam, and review of prior treatments and comorbidities. Appropriate counseling and informed consent are completed, including device type, risks, and expected outcomes. Preoperative optimization addresses diabetes control, smoking cessation, and infection risk. On the day of service the procedure is performed in an operating room or ambulatory surgery center under general, regional, or monitored anesthesia care. The surgeon implants a C2622 non-inflatable penile prosthesis (malleable rods) via a penoscrotal or infrapubic approach; placement typically includes corporal dilation, device sizing, and placement of paired malleable rods. Intraoperative documentation includes laterality (paired device), approach, device model/catalog number, irrigation and antibiotic use, and any intraoperative complications. Postoperative management includes short-term antibiotics per facility protocol, wound care instructions, activity restrictions, and follow-up visits to assess healing, device position, and function. Billing uses HCPCS C2622 for the prosthesis supply; operative and anesthesia professional services are reported separately with applicable CPT and anesthesia codes and appropriate modifiers to indicate circumstances such as bilateral procedure, unusual procedural service, or specific payment/ownership indicators.