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See a sample rate comparisonHCPCS L7902 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.
Tension ring, for vacuum erection device, any type, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Penile Prosthetics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L7902 |
National average reimbursement for HCPCS L7902 by major payers:
$21.02
$12.13
$14.54
$26.17
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HCPCS L7902
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$38.75Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$15.92Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$11.10Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$10.88Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$7.26Published rate
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See a sample payer proposalHCPCS L7902 vs. Other Penile Prosthetics Codes
The HCPCS L7902 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 L7902 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 |
|---|---|---|
| L7900-HCPCS | Moderate | Male vacuum erection system |
| L7902-HCPCS | Low | Tension ring, for vacuum erection device, any type, replacement only, each |
| L8000-HCPCS | Low | Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L7902. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L7902 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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