C2622 HCPCS code: Prosthesis, penile, non-inflatable
C2622 is the HCPCS Level II code for prosthesis, penile, non-inflatable. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims.
Code details
| Field | Value |
|---|---|
| Section | C codes — Outpatient PPS (hospital outpatient temporary codes) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 53 |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2001-04-01 |
| Last action effective | 2004-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Anatomic Consideration |
| practitioner claims | 1 | Anatomic Consideration |
What changed for C2622
- 2001-04-01: C2622 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C2622?
C2622 is the HCPCS Level II code for prosthesis, penile, non-inflatable. Short descriptor: "Prosthesis, penile, non-inf".
Does Medicare cover C2622?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C2622 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related C26 codes
- C2613 — Lung biopsy plug with delivery system
- C2614 — Probe, percutaneous lumbar discectomy
- C2615 — Sealant, pulmonary, liquid
- C2616 — Brachytherapy source, non-stranded, yttrium-90, per source
- C2617 — Stent, non-coronary, temporary, without delivery system
- C2618 — Probe/needle, cryoablation
- C2619 — Pacemaker, dual chamber, non rate-responsive (implantable)
- C2620 — Pacemaker, single chamber, non rate-responsive (implantable)
- C2621 — Pacemaker, other than single or dual chamber (implantable)
- C2623 — Catheter, transluminal angioplasty, drug-coated, non-laser
- C2624 — Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
- C2625 — Stent, non-coronary, temporary, with delivery system
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under C2622
- Watch C2622 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C2622
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.