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See a sample rate comparisonHCPCS L7900 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.
Male vacuum erection system
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Penile Prosthetics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L7900 |
National average reimbursement for HCPCS L7900 by major payers:
$355.16
$257.15
$211.10
$521.63
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HCPCS L7900
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$756.49Published rateNorthside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$414.50Published rateDonalsonville Hospital Inc
$285.29Published rateEmory Healthcare
$173.22Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$115.26Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L7900 vs. Other Penile Prosthetics Codes
The HCPCS L7900 code is part of the Prosthetic Procedures services used for Penile Prosthetics. 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 L7900 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 |
|---|---|---|
| L7700-HCPCS | Low | Gasket or seal, for use with prosthetic socket insert, any type, each |
| L7900-HCPCS | Moderate | Male vacuum erection system |
| L7902-HCPCS | Low | Tension ring, for vacuum erection device, any type, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L7900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L7900 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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