2025 CPT code 54450
Effective Date: N/A Surgery - Surgical Procedures on the Male Genital System Feed
Manipulation of the foreskin, including lysis of preputial adhesions and stretching.
Modifiers may be applicable to this code. For example, modifier 25 may be appended to an evaluation and management (E/M) code if a significant, separately identifiable E/M service is provided on the same day as the procedure. Modifier 52 may be used if the procedure is reduced in services.
Medical necessity for this procedure is established by the presence of phimosis or preputial adhesions causing symptoms such as pain, difficulty with urination, recurrent infections, or impaired sexual function. Documentation should clearly link the procedure to the patient's symptoms and the clinical need for intervention.
The physician prepares the patient, administers anesthesia as needed, and then manually retracts the foreskin. In some cases, a clamp or ring may be inserted between the foreskin and glans to gently stretch and break the adhesions.
In simple words: The doctor manipulates and stretches the foreskin of the penis to release any tightness or adhesions. This procedure helps to treat a condition called phimosis where the foreskin is difficult to retract.
This procedure involves manipulating and stretching the foreskin of the penis to break down adhesions. It is performed to treat phimosis by lysing adhesions between the foreskin and the glans penis in both uncircumcised and circumcised males. The physician manually retracts the foreskin and may use instruments like clamps or rings to facilitate the stretching and separation of adhesions.
Example 1: A 5-year-old uncircumcised male presents with phimosis, making it difficult to retract the foreskin. The physician performs manual manipulation and lysis of adhesions to improve foreskin retraction., A 10-year-old circumcised male experiences pain and restricted foreskin movement due to adhesions between the remaining foreskin and the glans. Lysis of adhesions and stretching are performed to alleviate the symptoms., An adult male with phimosis experiences difficulty with urination and hygiene. The physician performs foreskin manipulation, including lysis of adhesions and stretching, to improve foreskin mobility.
Documentation should include the patient's presenting symptoms, the physical exam findings confirming the presence of phimosis or preputial adhesions, the technique used for lysis of adhesions (manual or with instruments), and any complications encountered.
- Specialties:Urology, Pediatrics, Family Medicine
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center