2025 CPT code 54056
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Destruction Procedures on the Penis Surgical Procedures on the Male Genital System Feed
Cryosurgical destruction of one or more simple lesions on the penis (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle).
Modifiers may be applicable depending on the circumstances of the procedure. Consult the current CPT coding guidelines and payer specific rules for appropriate modifier use.
Cryosurgery is medically necessary for the destruction of benign or pre-malignant penile lesions when other less invasive treatments have failed or are not appropriate. Medical necessity is supported by clinical documentation showing the presence of the lesions and the justification for the chosen treatment modality.
The physician identifies and marks the penile lesion(s), prepares the patient, and applies the liquid nitrogen using a cryosurgical instrument or cotton applicator. The physician ensures precise application to the lesion, protecting surrounding healthy tissue. No incision or suturing is required. Post-procedure care instructions are provided to the patient.
In simple words: This code covers freezing and destroying warts or other small growths on the penis using liquid nitrogen.This is a simple procedure that doesn't involve cutting or stitches.
This CPT code encompasses the cryosurgical destruction of one or more simple lesions located on the penis.These lesions may include condyloma, papilloma, molluscum contagiosum, or herpetic vesicles. The procedure involves applying liquid nitrogen to the lesion(s) to freeze and destroy the affected tissue.The physician must ensure that only the lesion is treated, protecting the surrounding healthy tissue. No incision or suturing is required.
Example 1: A 25-year-old male presents with multiple small condylomata acuminata on his penis. The physician performs cryosurgery to destroy the lesions., A 30-year-old male presents with a single molluscum contagiosum lesion on his penis. The physician uses cryosurgery to remove the lesion., A 40-year-old male presents with a herpetic vesicle on his penis. The physician performs cryosurgery to treat the lesion and relieve associated pain.
* Thorough history and physical examination documenting the presence and characteristics of the penile lesion(s).* Detailed description of the procedure performed, including the type of cryosurgical instrument used and the number of freeze-thaw cycles.* Photographic documentation (before and after) of the lesion(s).* Patient education regarding post-procedure care and potential complications.
** This code is for the destruction of simple lesions. For extensive lesions or those requiring multiple techniques, code 54065 should be used.
- Revenue Code: P6C (Medicare Fee Schedule: MINOR PROCEDURES - OTHER)
- RVU: The relative value units (RVUs) for this code vary depending on the payer and location.Consult the specific payer's fee schedule for accurate RVU values.
- Global Days : The global period for this procedure is typically 0 days. This means there is no post-operative follow up included in the code.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to this code as it represents the entire procedure.
- Fee Schedule : Historical fee schedule information varies by payer and location.Consult historical payer fee schedules for specific data.
- Specialties:Urology, Dermatology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center