2025 CPT code 53447

Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session.

Refer to CPT guidelines for proper coding and modifier usage.

Modifiers may be applicable, such as modifier 52 for reduced services.

Medical necessity must be established by documenting the patient's symptoms, failure of conservative management, and the impact of urinary incontinence on the patient's quality of life.

The physician is responsible for the complete surgical procedure, including pre-operative preparation, the removal and replacement of the sphincter system, post-operative care, and patient education on the use of the new device.

IMPORTANT If cystoscopy is performed during the procedure, use code 52000 in conjunction with 53447. If only a component of the sphincter is removed or replaced, append modifier 52 to code 53447. For removal and replacement due to infection, use code 53448.

In simple words: The doctor removes the old artificial urinary sphincter and puts in a new one during the same surgery. This is done if there are problems with the original device. The procedure involves making a cut, removing the old parts, and placing the new sphincter, which helps control urine flow.

This procedure involves the removal of a previously implanted artificial urinary sphincter and its replacement with a new one during the same operation.It is typically performed due to complications with the original device.The procedure involves making an incision, accessing the pelvic space, removing the old sphincter components (cuff, reservoir, and pump), and then implanting the new device. The new cuff is placed around the urethra, the reservoir is positioned, and the pump is placed subcutaneously.The patient is instructed on how to use the new device.

Example 1: A patient experiences mechanical failure of their artificial urinary sphincter, requiring removal and replacement., Erosion of the urethral cuff necessitates the removal and replacement of the artificial urinary sphincter., A patient develops infection around the artificial urinary sphincter, requiring removal, debridement, and replacement of the device (use code 53448 in this scenario).

Documentation should include the reason for the revision, operative details of the removal and replacement, type of device implanted, and any complications encountered.

  • Specialties:Urology
  • Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.