C2626 — Infusion pump, non-programmable, temporary (implantable)
C2626 is a HCPCS Level II code for infusion pump, non-programmable, temporary (implantable). It belongs to the Outpatient Prospective Payment System section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of C2626 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for C2626
- Long descriptor
- Infusion pump, non-programmable, temporary (implantable)
- Short descriptor
- Infusion pump, non-prog,temp
- Added
- April 1, 2001
- BETOS
- D1A
- Pricing indicator
- 53 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Statute.
Codes adjacent to C2626
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If C2626 is not quite right, the correct code is very often within a few positions of it.
- C2618Probe/needle, cryoablation
- C2619Pacemaker, dual chamber, non rate-responsive (implantable)
- C2620Pacemaker, single chamber, non rate-responsive (implantable)
- C2621Pacemaker, other than single or dual chamber (implantable)
- C2622Prosthesis, penile, non-inflatable
- C2623Catheter, transluminal angioplasty, drug-coated, non-laser
- C2624Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
- C2625Stent, non-coronary, temporary, with delivery system
- C2627Catheter, suprapubic/cystoscopic
- C2628Catheter, occlusion
- C2629Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser
- C2630Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip
- C2631Repair device, urinary, incontinence, without sling graft
- C2634Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
Questions about C2626
What is HCPCS code C2626?
C2626 is a HCPCS Level II code for infusion pump, non-programmable, temporary (implantable). It sits in the Outpatient Prospective Payment System section.
Does Medicare cover C2626?
The CMS HCPCS file marks C2626 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.