Discontinued Coverage of Vacuum Erection Systems

Date Issued: 6/17/2015

On July 1, 2015, HCPCS codes L7900 and L7902 will no longer be covered by Medicare and, therefore, will not be payable for our EmblemHealth Medicare members. The Centers for Medicare & Medicaid Services has issued instructions to begin changes to deny coverage for the following HCPCS codes for VES and related accessories beginning with dates of service on or after July 1, 2015:

  • L7900 - Male Vacuum Erection System
  • L7902 - Tension Ring, for vacuum erection device, any type, replacement only, each

Applies to the following EmblemHealth Plans:

  • VIP
  • Essential
  • VIP High Option
  • EmblemHealth Dual Eligible
  • PPO I
  • EmblemHealth Advantage