2025 CPT code 54300
Effective Date: N/A Surgery - Surgical Procedures on the Male Genital System Feed
Surgical straightening of the penis (chordee), with or without mobilization of the urethra.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), or the presence of an assistant surgeon (80).
Medical necessity for this procedure is established by the presence of symptomatic chordee causing functional impairment (e.g., painful erections, difficulty with intercourse) or significant cosmetic concerns. In cases of hypospadias, the chordee repair is integral to the overall reconstructive process.
The surgeon performs the procedure under general anesthesia. They make incisions, excise or adjust tissues, potentially mobilize the urethra, and ensure careful preservation of nerves and vessels. They close the incisions, apply dressings, and may conduct an artificial erection test using saline injection.
In simple words: This surgery straightens a bent penis (called chordee), a condition sometimes seen with an abnormally placed urinary opening. The doctor makes an incision, removes or adjusts tissue to straighten the penis, and may also move the urinary opening to the correct position. The incision is then stitched closed.
This procedure involves the surgical correction of chordee, a curvature of the penis, often associated with hypospadias. The surgeon straightens the penis, which may include mobilization of the urethra. Several techniques may be employed, such as excising fibrous tissues causing the bend, balancing the penile length, and correcting any urethral defects. The procedure is performed carefully to avoid damaging nerves and blood vessels. The penis is then closed with sutures, dressed, and an artificial erection test may be performed to assess the straightening.
Example 1: A 1-year-old male presents with chordee and proximal hypospadias. The surgeon performs a combined procedure to straighten the penis and reconstruct the urethra to its normal position at the tip of the penis., A 30-year-old male develops acquired chordee due to Peyronie's disease. Surgical correction is performed to straighten the penis, addressing the curvature caused by scar tissue., A 15-year-old male with congenital chordee without hypospadias experiences painful erections due to the curvature. Surgery is performed to straighten the penis and alleviate the pain.
Documentation should include the diagnosis (e.g., congenital chordee, acquired chordee, hypospadias), severity of curvature, presence of any associated conditions, operative details, and results of post-operative artificial erection test.
- Specialties:Urology, Pediatric Urology, Plastic Surgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital