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See a sample rate comparisonHCPCS C2622 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Prosthesis, penile, non-inflatable
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Assorted Cardiovascular and Genitourinary Devices |
| Complexity Level | Moderate |
National average reimbursement for HCPCS C2622 by major payers:
$486.47
$52.00
$3,827.02
$1,632.00
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HCPCS C2622
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See a sample payer proposalHCPCS C2622 vs. Other Assorted Cardiovascular and Genitourinary Devices Codes
The HCPCS C2622 code is part of the Outpatient PPS services used for Assorted Cardiovascular and Genitourinary Devices. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS C2622 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| C2621-HCPCS | High | Pacemaker, other than single or dual chamber (implantable) |
| C2622-HCPCS | Moderate | Prosthesis, penile, non-inflatable |
| C2623-HCPCS | Moderate | Catheter, transluminal angioplasty, drug-coated, non-laser |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C2622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C2622 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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