C1813 HCPCS Level II code: Prosthesis, penile, inflatable
C1813 is the HCPCS code for “Prosthesis, penile, inflatable” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
C1813Prosthesis, penile, inflatable
Short description: Prosthesis, penile, inflatab
HCPCS · United States
Medicare details
The indicators CMS publishes with C1813 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Statute
- Type of service
- Other medical items or services; Surgical dressings or other medical supplies
- BETOS category
- Medical/surgical supplies
- Coverage statute
- 1833(T)
- Added
- Apr 1, 2001
Where C1813 sits
- 1C codesOutpatient prospective payment system
- 2Active code C1813Prosthesis, penile, inflatable
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code C1813 mean?
C1813 is the HCPCS code for “Prosthesis, penile, inflatable” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover C1813?
CMS lists C1813’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Statute”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside C1813
All C codesC1784Ocular device, intraoperative, detached retinaC1785Pacemaker, dual chamber, rate-responsive (implantable)C1786Pacemaker, single chamber, rate-responsive (implantable)C1787Patient programmer, neurostimulatorC1788Port, indwelling (implantable)C1789Prosthesis, breast (implantable)C1814Retinal tamponade device, silicone oilC1815Prosthesis, urinary sphincter (implantable)C1816Receiver and/or transmitter, neurostimulator (implantable)C1817Septal defect implant system, intracardiacC1818Integrated keratoprosthesisC1819Surgical tissue localization and excision device (implantable)