2025 CPT code 54417
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Male Genital System Surgery Feed
Removal and replacement of a penile prosthesis (non-inflatable or inflatable) at the same operative session, including debridement and irrigation of infected tissue.
Modifiers may be applicable depending on the specifics of the procedure. For example, modifier 22 (Increased Procedural Services) could be used if the procedure involved significantly more extensive debridement or surgical difficulty than typically encountered.Consult the complete modifier guidelines for more information.Modifiers 51, 52, 78, 79 may also be applicable based on the circumstances.
Medical necessity for this procedure is established by the presence of infection, mechanical failure, or significant patient discomfort related to the existing penile prosthesis.Documentation must support the clinical indication for removal and replacement.
The surgeon is responsible for pre-operative assessment, surgical procedure (incision, removal of old prosthesis, debridement, irrigation, insertion of new prosthesis, closure), post-operative care, and follow-up.Anesthesiologist may be involved for anesthesia administration.
In simple words: The doctor removes and replaces a penile implant that was previously placed.This includes cleaning out any infection and putting in a new implant during the same surgery.
This CPT code, 54417, represents the removal and replacement of a previously implanted penile prosthesis (either non-inflatable/semi-rigid or self-contained inflatable) during a single surgical session.The procedure necessitates debridement and irrigation of any infected tissue at the implant site. The surgeon removes the existing prosthesis, meticulously cleanses the area, and implants a new prosthesis.The specific type of prosthesis replaced is not the determining factor for code selection; rather, the type of prosthesis inserted dictates the appropriate code.
Example 1: A 62-year-old male patient with a previously implanted semi-rigid penile prosthesis presents with infection at the implant site.The surgeon performs removal and replacement of the prosthesis, including debridement and irrigation of the infected tissue.Code 54417 is used., A 55-year-old male patient with a self-contained inflatable penile prosthesis experiences mechanical failure and requires removal and replacement. The surgeon performs the procedure, addressing minor infection during the surgery.Code 54417 is used., A 70-year-old male patient has a previously placed penile prosthesis that is causing discomfort and has become infected. The surgeon removes the prosthesis, performs extensive debridement of infected tissue, and implants a different type of prosthesis during the same operation. Code 54417 is used,butappropriate consideration should be given to other codes (54410, 54411, 54416) based on the type of prosthesis inserted.
* Pre-operative diagnosis and rationale for procedure.* Detailed operative report specifying the type of prosthesis removed and inserted, the extent of infection, and debridement performed.* Intraoperative photos if available.* Post-operative diagnosis and follow-up notes.* Pathology report (if tissue sent for analysis).
** The selection of this code depends on the type of prosthesis *inserted*, not the type removed.Always verify the current CPT guidelines and NCCI edits prior to coding.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Data not available in provided text.Consult current RVU data from CMS or other relevant sources.
- Global Days : Data not available in provided text. Consult current CPT guidelines for global surgical period information.
- Payment Status: Active
- Modifier TC rule: Data not available in provided text. Check the current CPT guidelines for technical component considerations.
- Fee Schedule : Data not available in provided text.Historical fee schedules are subject to change and should be consulted from payer-specific sources.
- Specialties:Urology
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient and Outpatient), Office