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2025 CPT code 54050

Destruction of penile lesion(s) (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle) using chemical application.

Consult the current CPT coding guidelines for detailed instructions on applying this code. Pay close attention to the specific type of lesion and the technique utilized.

Modifiers may apply depending on the circumstances of the service. Consult the CPT manual for appropriate modifier application. Example modifiers include 51 (multiple procedures) or 59 (distinct procedural service).

Medical necessity is established when the penile lesion(s) are symptomatic (pain, bleeding, itching), or for cosmetic reasons if lesions persist and are not resolving spontaneously.

The physician identifies, marks, and treats the penile lesion(s) with a chemical application, ensuring protection of surrounding healthy tissue. Proper patient preparation and draping are essential.

IMPORTANT If electrodesiccation is used, code 54055 should be used.If cryosurgery is used, code 54056 is appropriate.For laser surgery, use code 54057.Surgical excision is coded as 54060.For extensive lesions requiring multiple techniques, code 54065 is indicated.

In simple words: The doctor uses a special chemical to remove a wart or similar growth on the penis. This gets rid of the growth and any pain it may cause.No cutting or stitches are needed.

This CPT code 54050 encompasses the destruction of one or more skin lesions located on the penis. These lesions may include condyloma, papilloma, molluscum contagiosum, or herpetic vesicles. The procedure involves the topical application of a chemical substance to destroy the lesion(s).The technique aims to eradicate the lesion(s) and alleviate any associated pain.The procedure is typically performed after proper patient preparation and draping, with precise lesion identification and marking. A cotton applicator, saturated with a histolytic chemical, is applied directly to the lesion(s), while protecting the surrounding healthy tissue, often using zinc chloride.The chemical's action destroys the lesion(s) without requiring incision or suturing.

Example 1: A 25-year-old male presents with a single condyloma on his penis. The physician performs chemosurgery using a chemical solution to destroy the lesion., A 30-year-old male presents with multiple small papillomas on his penis. The physician uses a chemical treatment to destroy the lesions, protecting the surrounding skin., A 40-year-old male presents with a herpetic vesicle on the penis. The physician applies a chemical to destroy the lesion, minimizing discomfort.

Patient's medical history, including relevant sexual history.Detailed description of the lesion(s) including location, size, number, and type (e.g., condyloma, papilloma).Documentation of the chemical agent used, technique of application, and steps taken to protect healthy tissue.Post-procedure assessment, including any complications.

** Always confirm the type of lesion and the specific chemical agent used in the procedure for accurate coding.Consider using additional codes to fully capture multiple lesions treated.Documentation is paramount to support the medical necessity for the procedure.

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